Richard S Bullard, APRN in Palm Coast, FL - Medicare Nurse Practitioner

Richard S Bullard, APRN is a medicare enrolled "Nurse Practitioner" in Palm Coast, Florida. His current practice location is 45 Pittwick Ln, Palm Coast, Florida. You can reach out to his office (for appointments etc.) via phone at (386) 517-4103.

Richard S Bullard is licensed to practice in Florida (license number APRN11014272) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1255903779.

Contact Information

	Richard S Bullard, APRN
	45 Pittwick Ln, Palm Coast, FL 32164-7003
	(386) 517-4103
	(386) 241-1022

Map and Direction

Provider's Profile

Full Name	Richard S Bullard
Gender	Male
Speciality	Nurse Practitioner
Location	45 Pittwick Ln, Palm Coast, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255903779
Provider Enumeration Date: 07/14/2021
Last Update Date: 04/09/2022

Medicare PECOS Information:

PECOS PAC ID: 5395138846
Enrollment ID: I20220207000980

Medical Identifiers

Medical identifiers for Richard S Bullard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255903779	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	APRN11014272 (Florida)	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. Richard S Bullard allows following entities to bill medicare on his behalf.

Entity Name	Florida Clinical Practice Association Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099

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. Richard S Bullard 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
Richard S Bullard, APRN 45 Pittwick Ln, Palm Coast, FL 32164-7003 Ph: (386) 517-4103	Richard S Bullard, APRN 45 Pittwick Ln, Palm Coast, FL 32164-7003 Ph: (386) 517-4103

Reviews and Comments

Nurse Practitioner Nurses in Palm Coast, FL

Lyne Emilie Homeus, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8 Waywell Pl, Palm Coast, FL 32164 Phone: 386-530-1708
Jennifer A Schroeder, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 61 Memorial Medical Pkwy Ste 2812, Palm Coast, FL 32164 Phone: 386-586-1860 Fax: 386-586-1861
Vivian Del Carmen Medina, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14 Office Park Dr Ste 6, Palm Coast, FL 32137 Phone: 407-299-7333
Jennifer Marie Agosto, ACNPC-AG Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 60 Piedmont Dr, Palm Coast, FL 32164 Phone: 305-588-0373
Amanda Vera, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 61 Memorial Medical Pkwy Ste 2815, Palm Coast, FL 32164 Phone: 386-586-1810 Fax: 386-586-1811
Traci Serrano, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 61 Memorial Medical Pkwy Ste 3816, Palm Coast, FL 32164 Phone: 386-586-1720
Mrs. Venus M. Valliere, ARNP BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 264a Palm Coast Pkwy Ne, Palm Coast, FL 32137 Phone: 386-446-5505 Fax: 386-246-3960

Richard S Bullard, APRN - Medicare Nurse Practitioner in Palm Coast, FL