Anisa Bullock, MSN, AGACNP-BC in Athens, GA - Medicare Nurse Practitioner

Anisa Bullock, MSN, AGACNP-BC is a medicare enrolled "Nurse Practitioner" in Athens, Georgia. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Piedmont Athens Specialty Care Llc and her current practice location is 242 King Avenue Suite 210, Athens, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 475-1700.

Anisa Bullock is licensed to practice in Georgia (license number RN220223) 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 1598235590.

Contact Information

	Anisa Bullock, MSN, AGACNP-BC
	242 King Avenue Suite 210, Athens, GA 30606
	(706) 475-1700
	Not Available

Map and Direction

Provider's Profile

Full Name	Anisa Bullock
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	242 King Avenue Suite 210, Athens, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Anisa Bullock graduated from nursing school in 2018

NPI Data:

NPI Number: 1598235590
Provider Enumeration Date: 12/03/2018
Last Update Date: 03/09/2022

Medicare PECOS Information:

PECOS PAC ID: 7113350901
Enrollment ID: I20191209003012

Medical Identifiers

Medical identifiers for Anisa Bullock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598235590	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	RN220223 (Georgia)	Secondary
363L00000X	Nurse Practitioner	RN220223 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Piedmont Athens Regional Medical Center	Athens, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Piedmont Athens Specialty Care Llc	8820349772	102

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. Anisa Bullock allows following entities to bill medicare on her behalf.

Entity Name	Grady Memorial Hospital Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114243813 PECOS PAC ID: 7517032998 Enrollment ID: O20100723000311

Entity Name	Piedmont Athens Specialty Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184130627 PECOS PAC ID: 8820349772 Enrollment ID: O20180917001273

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. Anisa 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
Anisa Bullock, MSN, AGACNP-BC 554 Sterling Water Dr, Monroe, GA 30655-7704 Ph: (404) 519-6862	Anisa Bullock, MSN, AGACNP-BC 242 King Avenue Suite 210, Athens, GA 30606 Ph: (706) 475-1700

Reviews and Comments

Nurse Practitioner Nurses in Athens, GA

Ms. Susan Gail Adams, APRN-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1905 Barnett Shoals Rd, Athens, GA 30605 Phone: 706-542-7053
Ireta Favors, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 250 Bray St, Athens, GA 30601 Phone: 678-215-4907 Fax: 678-671-8489
Melissa Bienacker Baughcum, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 340 N Milledge Ave Ste B, Athens, GA 30601 Phone: 706-548-0008 Fax: 706-369-9673
Amanda Gunter, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1175 Mitchell Bridge Rd, Athens, GA 30606 Phone: 706-534-4637
Lauren Gruendling, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 242 King Avenue, Suite 210, Athens, GA 30606 Phone: 706-475-1700
Cheryl Y Reed, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2142 W Broad St Bldg 100 Ste 200, Athens, GA 30606 Phone: 706-548-6881 Fax: 706-546-0821
Melisa Ann Suggs, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 240 North Ave, Athens, GA 30601 Phone: 706-613-6976

Anisa Bullock, MSN, AGACNP-BC - Medicare Nurse Practitioner in Athens, GA