Mrs Kelly Michelle Bullock, in Lynchburg, VA - Medicare Certified Registered Nurse Anesthetist (crna)

Mrs Kelly Michelle Bullock, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Lynchburg, Virginia. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Granville Health System, East Carolina Anesthesia Associates Pllc and her current practice location is 1901 Tate Springs Rd, Lynchburg, Virginia. You can reach out to her office (for appointments etc.) via phone at (704) 942-4854.

Mrs Kelly Michelle Bullock is licensed to practice in Virginia (license number 0024181581) 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 1720572225.

Contact Information

	Mrs Kelly Michelle Bullock,
	1901 Tate Springs Rd, Lynchburg, VA 24501-1109
	(704) 942-4854
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Kelly Michelle Bullock
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	6 Years
Location	1901 Tate Springs Rd, Lynchburg, Virginia
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:

Mrs Kelly Michelle Bullock graduated from nursing school in 2018

NPI Data:

NPI Number: 1720572225
Provider Enumeration Date: 06/18/2018
Last Update Date: 06/15/2021

Medicare PECOS Information:

PECOS PAC ID: 0941551717
Enrollment ID: I20180919000058

Medical Identifiers

Medical identifiers for Mrs Kelly Michelle Bullock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720572225	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	121741 (North Carolina)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	0024181581 (Virginia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Wilson Medical Center	Wilson, NC	Hospital
Wakemed, Cary Hospital	Cary, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Granville Health System	1052223757	33
East Carolina Anesthesia Associates Pllc	5092720813	473

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 Kelly Michelle Bullock allows following entities to bill medicare on her behalf.

Entity Name	Duke University Health System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558392977 PECOS PAC ID: 2567372345 Enrollment ID: O20031201000521

Entity Name	Granville Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275638512 PECOS PAC ID: 1052223757 Enrollment ID: O20040301000909

Entity Name	East Carolina Anesthesia Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205996519 PECOS PAC ID: 5092720813 Enrollment ID: O20060215000791

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 Kelly Michelle 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 Kelly Michelle Bullock, 3100 Sedgewick Dr, Lynchburg, VA 24503-3336 Ph: (704) 942-4854	Mrs Kelly Michelle Bullock, 1901 Tate Springs Rd, Lynchburg, VA 24501-1109 Ph: (704) 942-4854

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Lynchburg, VA

Marilyn J. Fisher, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1901 Tate Springs Rd, Lynchburg, VA 24501 Phone: 434-200-2300 Fax: 434-200-6490
Jeffrey Grey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1901 Tate Springs Rd, Lynchburg, VA 24501 Phone: 434-200-3000
Brooks Tanner Nielsen, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1901 Tate Springs Rd, Lynchburg, VA 24501 Phone: 435-773-3302
Anila Sodhi, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1901 Tate Springs Rd, Lynchburg, VA 24501 Phone: 804-594-2622 Fax: 804-594-0915
Allyson Danielle Brasseur, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1901 Tate Springs Rd, Lynchburg, VA 24501 Phone: 434-200-3000
William Lee Pearce, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1901 Tate Springs Rd, Lynchburg, VA 24501 Phone: 434-200-3000
Amy M. Merritt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1901 Tate Springs Rd, Lynchburg, VA 24501 Phone: 804-594-2622 Fax: 804-594-0915

Mrs Kelly Michelle Bullock, - Medicare Certified Registered Nurse Anesthetist (crna) in Lynchburg, VA