Dana Jill Bullock, MD - Medicare in Fort Worth, TX

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Dana Jill Bullock, MD is a medicare enrolled "Family Medicine" provider in Fort Worth, Texas. She went to Texas Tech University Health Science Center School Of Medicine and graduated in 2018 and has 6 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Hospitalist Medicine Physicians Of Texas Pllc, Concord Medical Group Of Texas Pllc and 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.

Contact Information

Dana Jill Bullock, MD
1500 S Main St,
Fort Worth, TX 76104-4917
(817) 702-1173
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDana Jill Bullock
GenderFemale
SpecialityFamily Practice
Experience6 Years
Location1500 S Main St, Fort Worth, Texas
Accepts Medicare AssignmentsYes. 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 Texas Tech University Health Science Center School Of Medicine in 2018
  NPI Data:
  • NPI Number: 1114422078
  • Provider Enumeration Date: 03/23/2018
  • Last Update Date: 06/23/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0345678199
  • Enrollment ID: I20200310002246

Medical Identifiers

Medical identifiers for Dana Jill Bullock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114422078NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 1143501 (Texas)Secondary
207Q00000XFamily Medicine S3952 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Jps Health NetworkFort worth, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hospitalist Medicine Physicians Of Texas Pllc3476688318889
Concord Medical Group Of Texas Pllc7810117223258

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. Dana Jill Bullock allows following entities to bill medicare on her behalf.
Provider NameConcord Medical Group Pllc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1083630610
PECOS PAC ID: 0446296818
Enrollment ID: O20050707000531
Provider NameCogent Healthcare Of Texas Pa
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1992722953
PECOS PAC ID: 8628076924
Enrollment ID: O20061121000364
Provider NameSound Inpatient Physicians Of Texas I, Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1831424563
PECOS PAC ID: 8729133640
Enrollment ID: O20090828000300
Provider NameHospitalist Medicine Physicians Of Texas Pllc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1629307095
PECOS PAC ID: 3476688318
Enrollment ID: O20100317001021
Provider NameConcord Medical Group Of Texas Pllc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1750790762
PECOS PAC ID: 7810117223
Enrollment ID: O20141007002567
Provider NameEmergency Staffing Solutions Of West Texas Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1033593504
PECOS PAC ID: 7113237868
Enrollment ID: O20151109000839
Provider NameHcc Of Fairfield Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1487122750
PECOS PAC ID: 3072859099
Enrollment ID: O20190114000163
Provider NameWh Services Dallas Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1164112264
PECOS PAC ID: 2961861281
Enrollment ID: O20230705002549

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 AddressPractice 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

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.