Darci Bullock, LPN is a
Licensed Practical Nurse based in Niles, Michigan. Darci Bullock is licensed to practice in Michigan (license number 4703099274) and her current practice location is
1638 Superior St, Niles, Michigan. She can be reached at her office (for appointments etc.) via phone at
(269) 845-0032.
NPI number for Darci Bullock is 1417337262 and her current mailing address is 1638 Superior St, Niles, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417337262.
Provider's Profile
Full Name | Darci Bullock |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 1638 Superior St, Niles, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1417337262
- Provider Enumeration Date: 06/08/2015
- Last Update Date: 06/08/2015
Medical Identifiers
Medical identifiers for Darci Bullock such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417337262 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 4703099274 (Michigan) | Primary |
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. Darci Bullock is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Darci Bullock, LPN 1638 Superior St, Niles, MI 49120-3817 Ph: (269) 845-0032 | Darci Bullock, LPN 1638 Superior St, Niles, MI 49120-3817 Ph: (269) 845-0032 |
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