Rose Marie Shaw-bullock, MD - Medicare Family Practice in N Little Rock, AR

  1. Home
  2. Family Medicine
  3. AR
  4. N Little Rock
Rose Marie Shaw-bullock, MD is a medicare enrolled "Family Medicine" physician in N Little Rock, Arkansas. She went to University Of Arkansas College Of Medicine and graduated in 1994 and has 30 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice North Little Rock Primary Care And Diagnostic Clinic Pllc, Arkansas Primary Care Clinics Pa and her current practice location is 400 W Pershing Blvd, N Little Rock, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 771-7717.

Rose Marie Shaw-bullock is licensed to practice in Arkansas (license number E0873) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1790749943.

Contact Information

Rose Marie Shaw-bullock, MD
400 W Pershing Blvd,
N Little Rock, AR 72114-2146
(501) 771-7717
(501) 771-0550

Map and Direction




Physician's Profile

Full NameRose Marie Shaw-bullock
GenderFemale
SpecialityFamily Practice
Experience30 Years
Location400 W Pershing Blvd, N Little Rock, Arkansas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Rose Marie Shaw-bullock attended and graduated from University Of Arkansas College Of Medicine in 1994
  NPI Data:
  • NPI Number: 1790749943
  • Provider Enumeration Date: 04/14/2006
  • Last Update Date: 08/02/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 5597933473
  • Enrollment ID: I20110720000246

Medical Identifiers

Medical identifiers for Rose Marie Shaw-bullock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790749943NPI-NPPES
132896001MedicaidAR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine E0873 (Arkansas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Chi-st Vincent InfirmaryLittle rock, ARHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Little Rock Primary Care And Diagnostic Clinic Pllc07494627863
Arkansas Primary Care Clinics Pa49815999742

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. Rose Marie Shaw-bullock allows following entities to bill medicare on her behalf.
Entity NameArkansas Primary Care Clinics Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750345427
PECOS PAC ID: 4981599974
Enrollment ID: O20040218000747
Entity NameNorth Little Rock Primary Care And Diagnostic Clinic Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306877576
PECOS PAC ID: 0749462786
Enrollment ID: O20110311000227

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. Rose Marie Shaw-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 AddressPractice Location Address
Rose Marie Shaw-bullock, MD
400 W Pershing Blvd,
N Little Rock, AR 72114-2146

Ph: (501) 771-7717		Rose Marie Shaw-bullock, MD
400 W Pershing Blvd,
N Little Rock, AR 72114-2146

Ph: (501) 771-7717

Reviews and Comments


Family Medicine Doctors in N Little Rock, AR


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.