Raeonda Bullard, MD - Medicare Obstetrics & Gynecology in Douglasville, GA

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Raeonda Bullard, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Douglasville, Georgia. Her current practice location is 6095 Professional Pkwy Ste A210, Douglasville, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 949-4188.

Raeonda Bullard is licensed to practice in Georgia (license number 93170) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1144713652.

Contact Information

Raeonda Bullard, MD
6095 Professional Pkwy Ste A210,
Douglasville, GA 30134-5611
(770) 949-4188
(770) 949-1614

Map and Direction




Physician's Profile

Full NameRaeonda Bullard
GenderFemale
SpecialityObstetrics & Gynecology
Location6095 Professional Pkwy Ste A210, Douglasville, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1144713652
  • Provider Enumeration Date: 06/08/2018
  • Last Update Date: 09/26/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1557613650
  • Enrollment ID: I20240520003345

Medical Identifiers

Medical identifiers for Raeonda Bullard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144713652NPI-NPPES
300034164AMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 010079 (Georgia)Secondary
207V00000XObstetrics & Gynecology 93170 (Georgia)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. Raeonda Bullard allows following entities to bill medicare on her behalf.
Entity NameWellstar Medical Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558664003
PECOS PAC ID: 6709065402
Enrollment ID: O20110127000374

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. Raeonda Bullard 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 AddressPractice Location Address
Raeonda Bullard, MD
6095 Professional Pkwy Ste A210,
Douglasville, GA 30134-5611

Ph: (770) 949-4188		Raeonda Bullard, MD
6095 Professional Pkwy Ste A210,
Douglasville, GA 30134-5611

Ph: (770) 949-4188

Reviews and Comments


Obstetrics & Gynecology Doctors in Douglasville, GA

Dr. Danielle Mccarthur, M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 6095 Professional Pkwy Ste A210, Douglasville, GA 30134
Phone: 770-949-4188    
Mina C Nayak, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 8954 Hospital Dr, Suite D-125, Douglasville, GA 30134
Phone: 678-715-8500    Fax: 770-489-7884
Mrs. Eleanor Glaspy-benton, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 8954 Hospital Dr, Suite 120-a, Douglasville, GA 30134
Phone: 770-732-7987    Fax: 770-732-2989
Kevin Ward, D.O
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 6095 Professional Pkwy Ste A210, Douglasville, GA 30134
Phone: 770-949-4188    Fax: 770-949-1614
Dr. Natalie Ronnette Brathwaite, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 6095 Professional Pkwy Ste A210, Douglasville, GA 30134
Phone: 770-949-4188    
Dr. Sean Germaine Davis, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 6095 Professional Pkwy Ste A210, Douglasville, GA 30134
Phone: 770-949-4188    Fax: 770-949-1614

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.