Mrs Cha-ga Bullock, FNP-BC in Oak Lawn, IL - Medicare Nurse Practitioner

Mrs Cha-ga Bullock, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Oak Lawn, Illinois. Her current practice location is 4400 W 95th St Ste 310, Oak Lawn, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 684-9230.

Mrs Cha-ga Bullock is licensed to practice in Illinois (license number 209027433) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1639858319.

Contact Information

	Mrs Cha-ga Bullock, FNP-BC
	4400 W 95th St Ste 310, Oak Lawn, IL 60453-2660
	(708) 684-9230
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Cha-ga Bullock
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4400 W 95th St Ste 310, Oak Lawn, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639858319
Provider Enumeration Date: 07/11/2023
Last Update Date: 12/14/2023

Medicare PECOS Information:

PECOS PAC ID: 2264886894
Enrollment ID: I20230929001647

Medical Identifiers

Medical identifiers for Mrs Cha-ga Bullock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639858319	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209027433 (Illinois)	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. Mrs Cha-ga Bullock allows following entities to bill medicare on her behalf.

Entity Name	Advocate Health And Hospitals Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064

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. Mrs Cha-ga 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 Address	Practice Location Address
Mrs Cha-ga Bullock, FNP-BC 29373 Network Pl, Chicago, IL 60673-2660 Ph: (847) 390-5900	Mrs Cha-ga Bullock, FNP-BC 4400 W 95th St Ste 310, Oak Lawn, IL 60453-2660 Ph: (708) 684-9230

Reviews and Comments

Nurse Practitioner Nurses in Oak Lawn, IL

Danielle Robinson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4400 W 95th St Ste 310, Oak Lawn, IL 60453 Phone: 708-684-9230 Fax: 708-684-9231
Amy Simone, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4400 W 95th St Ste 404, Oak Lawn, IL 60453 Phone: 800-323-8622
Andrea Christina Hammond, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-5354
Molly Ann Best, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-5437 Fax: 708-684-4808
Mr. Kevin Vermeer, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4061 W 95th St, Oak Lawn, IL 60453 Phone: 630-790-1872 Fax: 708-229-0090
Diana Polkowska, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-612-6133
Gloria Mudryj, MSN, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-2153

Mrs Cha-ga Bullock, FNP-BC - Medicare Nurse Practitioner in Oak Lawn, IL