Dana Jill Bullock, MD is a medicare enrolled "Family Medicine" provider in Fort Worth, Texas. Her current practice location is
1500 S Main St, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at
(817) 702-1173.
Dana Jill Bullock is licensed to practice in Texas (license number S3952) 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 1114422078.
Healthcare Provider's Profile
Full Name | Dana Jill Bullock |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 1500 S Main St, Fort Worth, Texas |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dana Jill Bullock attended and graduated from in
NPI Data:
- NPI Number: 1114422078
- Provider Enumeration Date: 03/23/2018
- Last Update Date: 06/23/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dana Jill Bullock such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114422078 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 1143501 (Texas) | Secondary |
207Q00000X | Family Medicine | S3952 (Texas) | Primary |
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. Dana Jill 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 |
Dana Jill Bullock, MD 1500 S Main St, Fort Worth, TX 76104-4917 Ph: (817) 702-1173 | Dana Jill Bullock, MD 1500 S Main St, Fort Worth, TX 76104-4917 Ph: (817) 702-1173 |
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