Mr Ty A Bullington, NP - Medicare Nurse Practitioner in Hixson, TN

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Mr Ty A Bullington, NP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Hixson, Tennessee. His current practice location is 4519 Hixson Pike, Hixson, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 877-4591.

Mr Ty A Bullington is licensed to practice in Tennessee (license number APN13114) 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 1407015951.

Contact Information

Mr Ty A Bullington, NP
4519 Hixson Pike,
Hixson, TN 37343-5035
(423) 877-4591
(423) 877-4225

Map and Direction




Provider's Profile

Full NameMr Ty A Bullington
GenderMale
SpecialityNurse Practitioner - Pediatrics
Location4519 Hixson Pike, Hixson, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1407015951
  • Provider Enumeration Date: 06/09/2008
  • Last Update Date: 03/05/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3577701960
  • Enrollment ID: I20240430003399

Medical Identifiers

Medical identifiers for Mr Ty A Bullington such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407015951NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics APN13114 (Tennessee)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 Ty A Bullington allows following entities to bill medicare on his behalf.
Entity NameThe Southeast Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245266956
PECOS PAC ID: 6204829013
Enrollment ID: O20040407000370

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 Ty A Bullington 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 Ty A Bullington, NP
910 Blackford Street, Attn: Tct Aftercare Center,
Chattanooga, TN 37403

Ph: (423) 778-2846		Mr Ty A Bullington, NP
4519 Hixson Pike,
Hixson, TN 37343-5035

Ph: (423) 877-4591

Reviews and Comments


Nurse Practitioner Nurses in Hixson, TN

Elizabeth Ruth Ann Hampton, ADULT NURSE PRACTITI
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3000 Preston Station Dr, Hixson, TN 37343
Phone: 423-309-4663    
Brandi Hoback, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2051 Hamill Rd Ste 204, Hixson, TN 37343
Phone: 423-870-2450    Fax: 423-877-5208
Dr. Jennifer Alicia Blankenship, DNP, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5546 Highway 153 Ste 120, Hixson, TN 37343
Phone: 423-486-1911    
Rachel Nicole Kimble, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2051 Hamill Road, Hixson, TN 37343
Phone: 423-495-2625    Fax: 423-495-2620
Jessica Stanley, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1017 Executive Dr, Suite 101, Hixson, TN 37343
Phone: 423-870-1999    
Ashley Sherae Hunter, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4980 Alpha Ln, Hixson, TN 37343
Phone: 423-497-5359    Fax: 423-877-5208
Lakendra Porter, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5450 Highway 153 Ste 126, Hixson, TN 37343
Phone: 865-201-7035    Fax: 865-761-2726

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.