Tracie L Bullock, APRN in Knoxville, TN - Medicare Nurse Practitioner

Tracie L Bullock, APRN is a medicare enrolled "Nurse Practitioner" in Knoxville, Tennessee. Her current practice location is 1431 Centerpoint Blvd, Knoxville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (865) 985-7494.

Tracie L Bullock is licensed to practice in Kentucky (license number 3003142) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1891878641.

Contact Information

	Tracie L Bullock, APRN
	1431 Centerpoint Blvd, Knoxville, TN 37932-1984
	(865) 985-7494
	Not Available

Map and Direction

Provider's Profile

Full Name	Tracie L Bullock
Gender	Female
Speciality	Nurse Practitioner
Location	1431 Centerpoint Blvd, Knoxville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891878641
Provider Enumeration Date: 10/23/2006
Last Update Date: 05/15/2015

Medicare PECOS Information:

PECOS PAC ID: 7214008325
Enrollment ID: I20080617000757

Medical Identifiers

Medical identifiers for Tracie L Bullock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891878641	NPI	-	NPPES
78004785	Medicaid	KY
000000646027	Other	KY	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	3003142 (Kentucky)	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. Tracie L Bullock allows following entities to bill medicare on her behalf.

Entity Name	Southeastern Emergency Services P C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669414264 PECOS PAC ID: 6204730195 Enrollment ID: O20031219000755

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. Tracie L 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
Tracie L Bullock, APRN 1431 Centerpoint Blvd, Knoxville, TN 37932-1984 Ph: (865) 985-7494	Tracie L Bullock, APRN 1431 Centerpoint Blvd, Knoxville, TN 37932-1984 Ph: (865) 985-7494

Reviews and Comments

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Tracie L Bullock, APRN - Medicare Nurse Practitioner in Knoxville, TN