Johnny Bullock, MD is a medicare enrolled "Family Medicine" physician in Foxworth, Mississippi. His current practice location is
62 Highway 587, Foxworth, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 424-3540.
Johnny Bullock is licensed to practice in Mississippi (license number 13883) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1043268709.
Physician's Profile
Full Name | Johnny Bullock |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 62 Highway 587, Foxworth, Mississippi |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Johnny Bullock attended and graduated from in
NPI Data:
- NPI Number: 1043268709
- Provider Enumeration Date: 05/05/2006
- Last Update Date: 11/01/2012
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Johnny Bullock such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043268709 | NPI | - | NPPES |
00737837 | Medicaid | MS | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 13883 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Johnny Bullock is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Johnny Bullock, MD Po Box 669, Foxworth, MS 39483-0669 Ph: (601) 424-3540 | Johnny Bullock, MD 62 Highway 587, Foxworth, MS 39483-5026 Ph: (601) 424-3540 |
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