Mr Grant A Bullock, in Las Vegas, NV - Medicare Psychiatry & Neurology

Mr Grant A Bullock, is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Las Vegas, Nevada. His current practice location is 4029 Dean Martin Dr, Las Vegas, Nevada. You can reach out to his office (for appointments etc.) via phone at (702) 848-2256.

Mr Grant A Bullock is licensed to practice in Nevada (license number DO3385) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1174086391.

Contact Information

	Mr Grant A Bullock,
	4029 Dean Martin Dr, Las Vegas, NV 89103-4138
	(702) 848-2256
	Not Available

Map and Direction

Physician's Profile

Full Name	Mr Grant A Bullock
Gender	Male
Speciality	Psychiatry & Neurology - Psychiatry
Location	4029 Dean Martin Dr, Las Vegas, Nevada
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174086391
Provider Enumeration Date: 04/14/2019
Last Update Date: 07/24/2024

Medicare PECOS Information:

PECOS PAC ID: 9032444120
Enrollment ID: I20230717001897

Medical Identifiers

Medical identifiers for Mr Grant A Bullock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174086391	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	DO3385 (Nevada)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Grant A Bullock allows following entities to bill medicare on his behalf.

Entity Name	Anywhere Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316460850 PECOS PAC ID: 4183996317 Enrollment ID: O20170822003489

Entity Name	Bauza Neuropsychiatry Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912596685 PECOS PAC ID: 7618370040 Enrollment ID: O20210722003696

Entity Name	Success Tms Of Nevada Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104597202 PECOS PAC ID: 0941691349 Enrollment ID: O20211220000205

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. Mr Grant A 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
Mr Grant A Bullock, 3014 W Charleston Blvd Ste 130, Las Vegas, NV 89102-0083 Ph: () -	Mr Grant A Bullock, 4029 Dean Martin Dr, Las Vegas, NV 89103-4138 Ph: (702) 848-2256

Reviews and Comments

Psychiatry & Neurology Doctors in Las Vegas, NV

Dr. Ejine Okoroafor, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 5440 W Sahara Ave, Suite 202, Las Vegas, NV 89146 Phone: 914-426-7774
Dr. Garet Jefferson Zaugg, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2020 Wellness Way Ste 300, Las Vegas, NV 89106 Phone: 702-432-2233 Fax: 702-800-5456
Dr. Muhammed A Hyder, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2465 E Twain Ave, Las Vegas, NV 89121 Phone: 702-789-6201 Fax: 304-522-0686
Dr. Krista Linn Pinard, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3016 W Charleston Blvd Ste 150, Las Vegas, NV 89102 Phone: 702-790-2701
Gobinder S. Chopra, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 6410 Medical Center St Ste A100, Las Vegas, NV 89148 Phone: 702-796-8500 Fax: 702-796-8502
Eden Santiago Lee, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3014 W Charleston Blvd Ste 130, Las Vegas, NV 89102 Phone: 702-671-6475 Fax: 702-671-6440
John Reitano, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 526 S Tonopah Dr Ste 140-160, Las Vegas, NV 89106 Phone: 702-897-7250 Fax: 702-706-4838

Mr Grant A Bullock, - Medicare Psychiatry & Neurology in Las Vegas, NV