Shay Bullock, NP-C is a medicare enrolled "Family Medicine" physician in Fort Hall, Idaho. He graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Not Tsoo Gah Nee Indian Health and his current practice location is
33 N. Mission Rd, Fort Hall, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 380-9727.
Shay Bullock is licensed to practice in Nevada (license number 812099) 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 1366101743.
Physician's Profile
| Full Name | Shay Bullock |
|---|
| Gender | Male |
|---|
| Speciality | Nurse Practitioner |
|---|
| Experience | 6 Years |
|---|
| Location | 33 N. Mission Rd, Fort Hall, Idaho |
|---|
| 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:
- Shay Bullock graduated from medical school in 2018
NPI Data:
- NPI Number: 1366101743
- Provider Enumeration Date: 12/13/2021
- Last Update Date: 07/20/2022
Medicare PECOS Information:
- PECOS PAC ID: 4587042601
- Enrollment ID: I20220602000075
Medical Identifiers
Medical identifiers for Shay Bullock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366101743 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 812099 (Nevada) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Not Tsoo Gah Nee Indian Health | 7012936578 | 5 |
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. Shay Bullock allows following entities to bill medicare on his behalf.
| Entity Name | Not Tsoo Gah Nee Indian Health |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1558441139
PECOS PAC ID: 7012936578
Enrollment ID: O20051115000262 |
|---|
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. Shay 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 |
|---|
Shay Bullock, NP-C
33 N. Mission Rd,
Fort Hall, ID 83203-8016
Ph: () - | Shay Bullock, NP-C
33 N. Mission Rd,
Fort Hall, ID 83203
Ph: (208) 380-9727 |
Reviews and Comments