Randy A Bullock, APRN W PP SUB in Ogden, UT - Medicare Nurse Practitioner

Randy A Bullock, APRN W PP SUB is a medicare enrolled "Nurse Practitioner" in Ogden, Utah. He graduated from nursing school in 2001 and has 23 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Weber Human Services and his current practice location is 237 26th St, Ogden, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 625-3605.

Randy A Bullock is licensed to practice in Utah (license number 1996264405) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1528099231.

Contact Information

	Randy A Bullock, APRN W PP SUB
	237 26th St, Ogden, UT 84401-3105
	(801) 625-3605
	(801) 625-3615

Map and Direction

Provider's Profile

Full Name	Randy A Bullock
Gender	Male
Speciality	Nurse Practitioner
Experience	23 Years
Location	237 26th St, Ogden, Utah
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Randy A Bullock graduated from nursing school in 2001

NPI Data:

NPI Number: 1528099231
Provider Enumeration Date: 07/05/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 7315830882
Enrollment ID: I20040206000796

Medical Identifiers

Medical identifiers for Randy A Bullock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528099231	NPI	-	NPPES
876000308007	Medicaid	UT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	1996264405 (Utah)	Primary
363L00000X	Nurse Practitioner	8900CS (Utah)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Weber Human Services	3274430244	37

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. Randy A Bullock allows following entities to bill medicare on his behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079

Entity Name	Weber Human Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043243140 PECOS PAC ID: 3274430244 Enrollment ID: O20031217000665

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. Randy A 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
Randy A Bullock, APRN W PP SUB 237 26th St, Ogden, UT 84401-3105 Ph: (801) 625-3605	Randy A Bullock, APRN W PP SUB 237 26th St, Ogden, UT 84401-3105 Ph: (801) 625-3605

Reviews and Comments

Nurse Practitioner Nurses in Ogden, UT

Trisha B Sears, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-866-3714
Allyx Bowthorpe, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 434 E 5350 S Ste D, Ogden, UT 84405 Phone: 801-827-9100 Fax: 801-827-9110
Justin Robert Haslam, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5740 Crestwood Dr, Ogden, UT 84405 Phone: 801-479-7771 Fax: 801-479-7795
Carrie Hanni, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4403 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-7900 Fax: 801-387-7910
Lacey Kay Gordon, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1355 W 3400 S, Ogden, UT 84401 Phone: 801-387-6150 Fax: 801-399-2572
Maline Johanna Cropper, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1068 Harrop St, Ogden, UT 84404 Phone: 435-760-5797
Mrs. Victoria Dawn Olvera, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-2702

Randy A Bullock, APRN W PP SUB - Medicare Nurse Practitioner in Ogden, UT