Brandon Bullock, in Woodstock, GA - Medicare Physical Therapy Provider

Brandon Bullock, is a medicare enrolled "Physical Therapist" provider in Woodstock, Georgia. He went to Touro Un Col Of Osteopathic Medicine, New York and graduated in 2019 and has 5 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Independent Physical Therapy Of Georgia Llc and his current practice location is 12050 Highway 92 Ste 116, Woodstock, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 516-3072.

Brandon Bullock is licensed to practice in Georgia (license number PT014444) 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 1114560604.

Contact Information

	Brandon Bullock,
	12050 Highway 92 Ste 116, Woodstock, GA 30188-4287
	(770) 516-3072
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Brandon Bullock
Gender	Male
Speciality	Physical Therapy
Experience	5 Years
Location	12050 Highway 92 Ste 116, Woodstock, Georgia
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:

Brandon Bullock attended and graduated from Touro Un Col Of Osteopathic Medicine, New York in 2019

NPI Data:

NPI Number: 1114560604
Provider Enumeration Date: 10/28/2019
Last Update Date: 01/06/2022

Medicare PECOS Information:

PECOS PAC ID: 7113319922
Enrollment ID: I20220127001617

Medical Identifiers

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

Identifier	Type	State	Issuer
1114560604	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	Secondary
225100000X	Physical Therapist	PT014444 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Independent Physical Therapy Of Georgia Llc	2961312244	447

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. Brandon Bullock allows following entities to bill medicare on his behalf.

Provider Name	Independent Physical Therapy Of Georgia Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1780636068 PECOS PAC ID: 2961312244 Enrollment ID: O20040303000396

Provider Name	Benchmark Physical Therapy, Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1083666903 PECOS PAC ID: 1557395209 Enrollment ID: O20050921001120

Provider Name	Drayer Physical Therapy Georgia, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1962830406 PECOS PAC ID: 4284863317 Enrollment ID: O20140212000668

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. Brandon 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
Brandon Bullock, 6397 Lee Hwy, Chattanooga, TN 37421-2564 Ph: () -	Brandon Bullock, 12050 Highway 92 Ste 116, Woodstock, GA 30188-4287 Ph: (770) 516-3072

Reviews and Comments

Physical Therapist in Woodstock, GA

Amy Kafati, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1432 Towne Lake Pkwy, Ste 120, Woodstock, GA 30189 Phone: 678-445-9799 Fax: 678-445-2688
James Peter Kwan, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2295 Towne Lake Pkwy, Ste 148, Woodstock, GA 30189 Phone: 770-926-2744 Fax: 770-926-2794
Matthew Payom Ayers, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2295 Towne Lake Pkwy Ste 148, Woodstock, GA 30189 Phone: 770-926-2744 Fax: 770-926-2794
Giovani Velez, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6236 Holly Springs Pkwy, Ste D8, Woodstock, GA 30188 Phone: 770-800-6770
Scott William Lowe, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2295 Towne Lake Pkwy, Ste 148, Woodstock, GA 30189 Phone: 770-926-2744 Fax: 770-926-2794
Joseph Ronald Gross, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2295 Towne Lake Pkwy, Ste 148, Woodstock, GA 30189 Phone: 770-926-2744 Fax: 770-926-2794
Brittany Poist Kizzire, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2295 Towne Lake Pkwy, Ste 148, Woodstock, GA 30189 Phone: 770-926-2744 Fax: 770-926-2794

Brandon Bullock, - Medicare Physical Therapist in Woodstock, GA