Mr Brett Wallace Bulloch, CRNA - Medicare Nurse Anesthetist, Certified Registered in St George, UT

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Mr Brett Wallace Bulloch, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in St George, Utah. His current practice location is 754 S Main St Ste 5, St George, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 652-1445.

Mr Brett Wallace Bulloch is licensed to practice in Utah (license number 4928514-4406) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1104055821.

Contact Information

Mr Brett Wallace Bulloch, CRNA
754 S Main St Ste 5,
St George, UT 84770-5519
(435) 652-1445
Not Available

Map and Direction




Provider's Profile

Full NameMr Brett Wallace Bulloch
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location754 S Main St Ste 5, St George, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104055821
  • Provider Enumeration Date: 07/02/2009
  • Last Update Date: 08/22/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4789840851
  • Enrollment ID: I20120718000618

Medical Identifiers

Medical identifiers for Mr Brett Wallace Bulloch such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104055821NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 4928514-4406 (Utah)Primary

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. Mr Brett Wallace Bulloch allows following entities to bill medicare on his behalf.
Entity NamePrecision Dental Specialties Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912766882
PECOS PAC ID: 3779922364
Enrollment ID: O20240416000822

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. Mr Brett Wallace Bulloch 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
Mr Brett Wallace Bulloch, CRNA
1698 S 1000 E,
St George, UT 84790-2271

Ph: (435) 219-2100		Mr Brett Wallace Bulloch, CRNA
754 S Main St Ste 5,
St George, UT 84770-5519

Ph: (435) 652-1445

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in St George, UT

Ivan Dunlap, C.R.N.A.
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 676 S Bluff St, St George, UT 84770
Phone: 435-673-8080    Fax: 435-673-0096
Elizabeth J Dorsey, C.R.N.A.
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 754 N Main, St George, UT 84770
Phone: 435-628-2671    
John O Harmon, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1490 E Foremaster Dr, St George, UT 84790
Phone: 702-489-5460    
Corey D Warner, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1380 E Medical Center Dr, St George, UT 84790
Phone: 801-727-2056    Fax: 770-701-6675
Jonathan Hyatt, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1380 E Medical Center Dr, St George, UT 84790
Phone: 801-727-2056    Fax: 770-701-6675
Mr. Vaughn Paul Jones, CRNA
Nurse Anesthetist - CR
Medicare: May Accept Medicare Assignments
Practice Location: 1791 E 280 N, St George, UT 84790
Phone: 435-656-2020    

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.