Ms Chanel Dominque Bullock, APN, FNP-C in Little Rock, AR

Ms Chanel Dominque Bullock, APN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Little Rock, Arkansas. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Pain Treatment Centers Of America Pllc, Ideal Telemedicine Services Llc, Ideal Option Pllc, Ideal Telemedicine Services Llc, Ideal Option Pllc and her current practice location is 108 N Shackleford Rd, Little Rock, Arkansas. You can reach out to her office (for appointments etc.) via phone at (844) 215-0731.

Ms Chanel Dominque Bullock is licensed to practice in Arkansas (license number A005316) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1346752151.

Contact Information

	Ms Chanel Dominque Bullock, APN, FNP-C
	108 N Shackleford Rd, Little Rock, AR 72211-2840
	(844) 215-0731
	(888) 630-8885

Map and Direction

Provider's Profile

Full Name	Ms Chanel Dominque Bullock
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	108 N Shackleford Rd, Little Rock, Arkansas
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Chanel Dominque Bullock graduated from nursing school in 2017

NPI Data:

NPI Number: 1346752151
Provider Enumeration Date: 11/02/2017
Last Update Date: 04/06/2022

Medicare PECOS Information:

PECOS PAC ID: 8325307879
Enrollment ID: I20180109001711

Medical Identifiers

Medical identifiers for Ms Chanel Dominque Bullock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346752151	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	A005316 (Arkansas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pain Treatment Centers Of America Pllc	2769608819	53
Ideal Telemedicine Services Llc	2860726221	65
Ideal Option Pllc	6709013105	107
Ideal Telemedicine Services Llc	2860726221	65
Ideal Option Pllc	6709013105	107

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. Ms Chanel Dominque Bullock allows following entities to bill medicare on her behalf.

Entity Name	White River Health System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558447599 PECOS PAC ID: 0143134270 Enrollment ID: O20080206000654

Entity Name	Pain Treatment Centers Of America Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841619731 PECOS PAC ID: 2769608819 Enrollment ID: O20140725000128

Entity Name	Ideal Option Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457788275 PECOS PAC ID: 6709013105 Enrollment ID: O20200220002283

Entity Name	Ideal Telemedicine Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346754868 PECOS PAC ID: 2860726221 Enrollment ID: O20200311000756

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. Ms Chanel Dominque 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
Ms Chanel Dominque Bullock, APN, FNP-C 108 N Shackleford Rd, Little Rock, AR 72211-2840 Ph: (844) 215-0731	Ms Chanel Dominque Bullock, APN, FNP-C 108 N Shackleford Rd, Little Rock, AR 72211-2840 Ph: (844) 215-0731

Reviews and Comments

Nurse Practitioner Nurses in Little Rock, AR

Tammie R Glover-brockinton, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4301 W Markham St, Little Rock, AR 72205 Phone: 501-686-7000
Rachael Nichole Daugherty, APN/NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Saint Vincent Cir, Suite 210, Little Rock, AR 72205 Phone: 501-552-4777 Fax: 501-552-4482
Lauren Searcy, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Childrens Way, Little Rock, AR 72202 Phone: 501-364-1100
Mrs. Michelle Parish, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5700 W Markham St, Little Rock, AR 72205 Phone: 501-227-0184
Ashley Benton, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3 Chenal Heights Dr, Little Rock, AR 72223 Phone: 501-830-2271
Rachel Sloan, APRN FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St # 783, Little Rock, AR 72205 Phone: 501-686-8000
Elizabeth Fiser, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10025 W Markham St Ste 210, Little Rock, AR 72205 Phone: 501-663-5473 Fax: 501-801-1816

Ms Chanel Dominque Bullock, APN, FNP-C - Medicare Nurse Practitioner in Little Rock, AR