Keinisha Bullard, CRNA in Tyler, TX - Medicare Certified Registered Nurse Anesthetist (crna)

Keinisha Bullard, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Tyler, Texas. She graduated from nursing school in 2010 and has 15 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice University Of Texas Southwestern Medical Center and her current practice location is 800 E Dawson St, Tyler, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 531-4500.

Keinisha Bullard is licensed to practice in Louisiana (license number RN108766) 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 1649578451.

Contact Information

	Keinisha Bullard, CRNA
	800 E Dawson St, Tyler, TX 75701-2036
	(903) 531-4500
	Not Available

Map and Direction

Provider's Profile

Full Name	Keinisha Bullard
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	15 Years
Location	800 E Dawson St, Tyler, Texas
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:

Keinisha Bullard graduated from nursing school in 2010

NPI Data:

NPI Number: 1649578451
Provider Enumeration Date: 03/02/2011
Last Update Date: 10/14/2014

Medicare PECOS Information:

PECOS PAC ID: 6406030493
Enrollment ID: I20110523000422

Medical Identifiers

Medical identifiers for Keinisha Bullard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649578451	NPI	-	NPPES
280340501	Medicaid	TX
280340502	Medicaid	TX
8283UB	Other	TX	BCBS
750818167015	Other	TX	TRICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	RN108766 (Louisiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ut Southwestern University Hospital - William P. Clements Jr.	Dallas, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Texas Southwestern Medical Center	0648188250	2569

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. Keinisha Bullard allows following entities to bill medicare on her behalf.

Entity Name	University Of Texas Southwestern Medical Center At Dallas
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972579365 PECOS PAC ID: 0648188250 Enrollment ID: O20031106000792

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. Keinisha 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 Address	Practice Location Address
Keinisha Bullard, CRNA Po Box 841656, Dallas, TX 75284-1656 Ph: (903) 531-5000	Keinisha Bullard, CRNA 800 E Dawson St, Tyler, TX 75701-2036 Ph: (903) 531-4500

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Tyler, TX

Mrs. Glenda R Sealey, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1424 East Front, Tyler, TX 75702 Phone: 903-595-4144 Fax: 903-596-7541
John Glynn Jeansonne, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 S Beckham Ave, Tyler, TX 75701 Phone: 903-526-1068 Fax: 903-593-4290
Jeffrey Manglicmot, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-531-4522
Harold Richie Bandalan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 S Beckham Ave, Tyler, TX 75701 Phone: 903-526-1068 Fax: 903-593-4290
Jeffrey David Barker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 S Beckham Ave, Tyler, TX 75701 Phone: 903-597-0351
Gregory Mallett, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-606-4522
Cara L Dewolfe, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-593-8441

Keinisha Bullard, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Tyler, TX