Marlisa Bullock, NP - Medicare Nurse Practitioner in Denver, NC

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Marlisa Bullock, NP is a medicare enrolled "Nurse Practitioner" in Denver, North Carolina. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Novant Medical Group Inc and her current practice location is 269 Gillman Rd Ste 100, Denver, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 316-4930.

Marlisa Bullock is licensed to practice in North Carolina (license number 5011333) 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 1134555139.

Contact Information

Marlisa Bullock, NP
269 Gillman Rd Ste 100,
Denver, NC 28037-7923
(704) 316-4930
(704) 316-4931

Map and Direction




Provider's Profile

Full NameMarlisa Bullock
GenderFemale
SpecialityNurse Practitioner
Experience11 Years
Location269 Gillman Rd Ste 100, Denver, North Carolina
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:
  • Marlisa Bullock graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1134555139
  • Provider Enumeration Date: 09/23/2013
  • Last Update Date: 10/26/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8729387642
  • Enrollment ID: I20190615000196

Medical Identifiers

Medical identifiers for Marlisa Bullock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134555139NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 4704222885 (Michigan)Secondary
363L00000XNurse Practitioner 5011333 (North Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Novant Medical Group Inc11532348932023

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. Marlisa Bullock allows following entities to bill medicare on her behalf.
Entity NameNovant Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366409492
PECOS PAC ID: 1153234893
Enrollment ID: O20031121000692
Entity NameNovant Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306950282
PECOS PAC ID: 1153234893
Enrollment ID: O20040204001028

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. Marlisa 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
Marlisa Bullock, NP
Po Box 60447,
Charlotte, NC 28260-0447

Ph: () -		Marlisa Bullock, NP
269 Gillman Rd Ste 100,
Denver, NC 28037-7923

Ph: (704) 316-4930

Reviews and Comments


Nurse Practitioner Nurses in Denver, NC

Kendra Jackson, NP
Nurse Practitioner
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Practice Location: 7585 Nc-73, Salon Lofts #13, Denver, NC 28037
Phone: 704-577-4135    
Mrs. Kelly Lynn Tolcher, RNCPHP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 269 Gillman Rd Ste 200a, Denver, NC 28037
Phone: 704-316-5287    Fax: 704-316-5268
Marie Krider Lively, PNP-PC
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Medicare: Not Enrolled in Medicare
Practice Location: 635 N Nc 16 Business Hwy, Denver, NC 28037
Phone: 704-489-8401    
Jamie Nicole Gregory,
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Medicare: Accepting Medicare Assignments
Practice Location: 294 N Nc 16 Business Hwy Ste A, Denver, NC 28037
Phone: 704-660-4041    Fax: 704-489-2900
Kellie Harney O'hara, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 275 N Nc 16 Business Hwy Ste 104, Denver, NC 28037
Phone: 704-489-3440    Fax: 888-815-0892
Kristie Nicole Singer, NP
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Medicare: Accepting Medicare Assignments
Practice Location: 409 Olin Way, Ste 2200, Denver, NC 28037
Phone: 704-801-7300    

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.