Patricia Bullock, NP-C - Medicare Nurse Practitioner in Taylorsville, MS

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Patricia Bullock, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Taylorsville, Mississippi. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ocean Springs Urgent Care, Mississippi Medical Clinic, Maxem Health Urgent Care Magee and her current practice location is 403 Pine St, Taylorsville, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 452-7080.

Patricia Bullock is licensed to practice in Mississippi (license number R852050) 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 1679862817.

Contact Information

Patricia Bullock, NP-C
403 Pine St,
Taylorsville, MS 39168-5659
(601) 452-7080
(601) 452-7083

Map and Direction




Provider's Profile

Full NamePatricia Bullock
GenderFemale
SpecialityNurse Practitioner
Experience14 Years
Location403 Pine St, Taylorsville, Mississippi
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Patricia Bullock graduated from nursing school in 2010
  NPI Data:
  • NPI Number: 1679862817
  • Provider Enumeration Date: 03/28/2011
  • Last Update Date: 12/02/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1557530128
  • Enrollment ID: I20110816000741

Medical Identifiers

Medical identifiers for Patricia Bullock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679862817NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family R852050 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kindred At Home -flowoodFlowood, MSHome health agency
Sta Home Health And HospiceClinton, MSHome health agency
Magee General HospitalMagee, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ocean Springs Urgent Care024442619517
Mississippi Medical Clinic47890811423
Maxem Health Urgent Care Magee95374196438

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. Patricia Bullock allows following entities to bill medicare on her behalf.
Entity NameCovington County Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518260330
PECOS PAC ID: 4183517253
Enrollment ID: O20040203000816
Entity NamePicayune Urgent Care Clinic, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780723502
PECOS PAC ID: 3072612175
Enrollment ID: O20070629000243
Entity NamePioneer Health Care , Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336384742
PECOS PAC ID: 4789740044
Enrollment ID: O20090311000659
Entity NameOcean Springs Urgent Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871808022
PECOS PAC ID: 0244426195
Enrollment ID: O20101118000444
Entity NameDiamondhead Urgent Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659673606
PECOS PAC ID: 6305028051
Enrollment ID: O20110316000859
Entity NamePascagoula Urgent Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235442872
PECOS PAC ID: 8527241207
Enrollment ID: O20110318000278
Entity NamePetal Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982908877
PECOS PAC ID: 9133303811
Enrollment ID: O20110404000578
Entity NameHattiesburg Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164805156
PECOS PAC ID: 4981913308
Enrollment ID: O20151024000062
Entity NameMaxem Health Urgent Care Magee
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235669136
PECOS PAC ID: 9537419643
Enrollment ID: O20180912000183
Entity NameMaxem Health Urgent Care Mccomb
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235619479
PECOS PAC ID: 6305181959
Enrollment ID: O20181231000649
Entity NameMississippi Medical Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114694536
PECOS PAC ID: 4789081142
Enrollment ID: O20210928000892

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. Patricia 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 AddressPractice Location Address
Patricia Bullock, NP-C
403 Pine St,
Taylorsville, MS 39168-5659

Ph: (601) 452-7080		Patricia Bullock, NP-C
403 Pine St,
Taylorsville, MS 39168-5659

Ph: (601) 452-7080

Reviews and Comments


Nurse Practitioner Nurses in Taylorsville, MS

Ms. Sharon L Scruggs, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 336 Eureka Street, Taylorsville, MS 39168
Phone: 601-785-4322    Fax: 601-785-6881
Lawanda Nicole Ellis, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 531 Ms-23, Taylorsville, MS 39168
Phone: 601-785-9580    
Mr. Mark Waylon Scruggs, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 336 Eureka Street, Taylorsville, MS 39168
Phone: 601-785-4322    Fax: 866-404-2914
Mrs. Carolyn Ann Schrader, N.P.
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 409 Willis Street, Suite 2, Taylorsville, MS 39168
Phone: 601-785-9580    Fax: 601-785-9910

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.