Jeffrey Dale Bullock, PT in Camp Pendleton, CA - Medicare Physical Therapist Provider

Jeffrey Dale Bullock, PT is a medicare enrolled "Physical Therapist - Neurology" provider in Camp Pendleton, California. His current practice location is 2016 San Jacinto Rd, Camp Pendleton, California. You can reach out to his office (for appointments etc.) via phone at (760) 719-4191.

Jeffrey Dale Bullock is licensed to practice in Colorado (license number 0011340) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1922297613.

Contact Information

	Jeffrey Dale Bullock, PT
	2016 San Jacinto Rd, Camp Pendleton, CA 92054
	(760) 719-4191
	(760) 719-4267

Map and Direction

Healthcare Provider's Profile

Full Name	Jeffrey Dale Bullock
Gender	Male
Speciality	Physical Therapist - Neurology
Location	2016 San Jacinto Rd, Camp Pendleton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922297613
Provider Enumeration Date: 10/17/2007
Last Update Date: 05/16/2024

Medicare PECOS Information:

PECOS PAC ID: 1153595038
Enrollment ID: I20111111000370

Medical Identifiers

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

Identifier	Type	State	Issuer
1922297613	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PTL.0011340 (Colorado)	Secondary
2251N0400X	Physical Therapist - Neurology	0011340 (Colorado)	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. Jeffrey Dale Bullock allows following entities to bill medicare on his behalf.

Provider Name	Dhhs Phs Naihs Shiprock Hospital
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1780639971 PECOS PAC ID: 0749193837 Enrollment ID: O20031105000809

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. Jeffrey Dale 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
Jeffrey Dale Bullock, PT 2016 San Jacinto Rd, Camp Pendleton, CA 92054 Ph: (760) 719-4191	Jeffrey Dale Bullock, PT 2016 San Jacinto Rd, Camp Pendleton, CA 92054 Ph: (760) 719-4191

Reviews and Comments

Physical Therapist in Camp Pendleton, CA

Mrs. Lisa Michelle Smith, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Mercy Circle, Box 555191 Naval Hospital Camp Pendleton, Camp Pendleton, CA 92055 Phone: 760-719-3675
Laura Wegemann, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Bldg H100 Santa Margarita Rd, Naval Hospital Camp Pendleton, Camp Pendleton, CA 92055 Phone: 760-725-0452 Fax: 760-725-0051
Dr. Luke A Bynum, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 200 Mercy Circle, Camp Pendleton, CA 92055 Phone: 760-719-1267
Chad Tosh, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Naval Hospital Camp Pendleton, Box 555191, Camp Pendleton, CA 92055 Phone: 760-725-8882
Erin Wippermann, PT, DPT, OCS, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Mercy Circle, Camp Pendleton, CA 92058 Phone: 530-432-9660
Mrs. Regina R Albaladejo, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Bldg H100, Santa Margarita Road Attn: Code Cs-pa, Naval Hospital Camp Pendleton, Camp Pendleton, CA 92005 Phone: 760-725-3081
Trevor Raymond Scott, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2016 San Jacinto Road, Camp Pendleton, CA 92055 Phone: 760-763-9467

Jeffrey Dale Bullock, PT - Medicare Physical Therapist in Camp Pendleton, CA