Dr Jennifer Sullivan Bullock, PT, DPT is a medicare enrolled "Physical Therapist" provider in Mountain Village, Colorado. Her current practice location is
622 Mountain Village Blvd Ste 102, Mountain Village, Colorado. You can reach out to her office (for appointments etc.) via phone at
(214) 864-2440.
Dr Jennifer Sullivan Bullock is licensed to practice in Texas (license number 1081933) 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 1164907986.
Healthcare Provider's Profile
Full Name | Dr Jennifer Sullivan Bullock |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 622 Mountain Village Blvd Ste 102, Mountain Village, Colorado |
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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:
- Dr Jennifer Sullivan Bullock attended and graduated from in
NPI Data:
- NPI Number: 1164907986
- Provider Enumeration Date: 09/27/2018
- Last Update Date: 09/27/2018
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Jennifer Sullivan Bullock such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164907986 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 1081933 (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. Dr Jennifer Sullivan 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 |
Dr Jennifer Sullivan Bullock, PT, DPT 870 Foxdale, Fairview, TX 75069-8794 Ph: (214) 864-2440 | Dr Jennifer Sullivan Bullock, PT, DPT 622 Mountain Village Blvd Ste 102, Mountain Village, CO 81435-9529 Ph: (214) 864-2440 |
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