Jessica Marie Bullock, DPT is a
Physical Therapist based in Olyphant, Pennsylvania. Jessica Marie Bullock is licensed to practice in Pennsylvania (license number PT021690) and her current practice location is
408 Joan Dr, Olyphant, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(570) 606-7694.
NPI number for Jessica Marie Bullock is 1902344468 and her current mailing address is 408 Joan Dr, Olyphant, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902344468.
Healthcare Provider's Profile
Full Name | Jessica Marie Bullock |
---|
Gender | Female |
---|
Speciality | Physical Therapist |
---|
Location | 408 Joan Dr, Olyphant, Pennsylvania |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1902344468
- Provider Enumeration Date: 02/05/2017
- Last Update Date: 03/29/2022
Medical Identifiers
Medical identifiers for Jessica Marie Bullock such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902344468 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | PT021690 (Pennsylvania) | 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. Jessica Marie Bullock is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jessica Marie Bullock, DPT 408 Joan Dr, Olyphant, PA 18447-2178 Ph: (570) 606-7694 | Jessica Marie Bullock, DPT 408 Joan Dr, Olyphant, PA 18447-2178 Ph: (570) 606-7694 |
Reviews and Comments