Dr Jennifer Sullivan Bullock, PT, DPT is a medicare enrolled "Physical Therapist" provider in Mountain Village, Colorado. She went to University Of Texas Medical Branch At Galveston and graduated in 1992 and has 33 years of diverse experience with area of expertise as Physical Therapy. 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 | Physical Therapy |
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| Experience | 33 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. |
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Medical Education and Training:
- Dr Jennifer Sullivan Bullock attended and graduated from University Of Texas Medical Branch At Galveston in 1992
NPI Data:
- NPI Number: 1164907986
- Provider Enumeration Date: 09/27/2018
- Last Update Date: 09/27/2018
Medicare PECOS Information:
- PECOS PAC ID: 0941544852
- Enrollment ID: I20181204001816
Medical Identifiers
Medical identifiers for Dr Jennifer Sullivan Bullock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1164907986 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 1081933 (Texas) | 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. Dr Jennifer Sullivan Bullock allows following entities to bill medicare on her behalf.
| Provider Name | Transformation Therapeutics, Pllc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1679042121
PECOS PAC ID: 1557605466
Enrollment ID: O20181204001968 |
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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 |
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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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