Kristan M Bullock, MS, CCC-SLP in Idaho Falls, ID - Medicare Qualified Speech Language Pathologist Provider

Kristan M Bullock, MS, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Idaho Falls, Idaho. She graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Qualified Speech Language Pathologist. She is a member of the group practice Foothills Rehabilitation And Performance Services Pllc, Achieve Therapy And Learning Services, Llc and her current practice location is 3715 Woodking Dr, Idaho Falls, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 529-2255.

Kristan M Bullock is licensed to practice in Idaho (license number SLP 2623) 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 1689082521.

Contact Information

	Kristan M Bullock, MS, CCC-SLP
	3715 Woodking Dr, Idaho Falls, ID 83404-4720
	(208) 529-2255
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kristan M Bullock
Gender	Female
Speciality	Qualified Speech Language Pathologist
Experience	11 Years
Location	3715 Woodking Dr, Idaho Falls, Idaho
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:

Kristan M Bullock graduated from medical school in 2013

NPI Data:

NPI Number: 1689082521
Provider Enumeration Date: 07/23/2014
Last Update Date: 09/15/2014

Medicare PECOS Information:

PECOS PAC ID: 4385865575
Enrollment ID: I20141103000900

Medical Identifiers

Medical identifiers for Kristan M Bullock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689082521	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	SLP 2623 (Idaho)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Foothills Rehabilitation And Performance Services Pllc	6406077999	7
Achieve Therapy And Learning Services, Llc	7113382110	3

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. Kristan M Bullock allows following entities to bill medicare on her behalf.

Provider Name	Foothills Rehabilitation & Performance Services Pllc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1063829836 PECOS PAC ID: 6406077999 Enrollment ID: O20141027001351

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. Kristan M 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
Kristan M Bullock, MS, CCC-SLP 2094 Autumn Ln, Idaho Falls, ID 83404-8287 Ph: (208) 881-1309	Kristan M Bullock, MS, CCC-SLP 3715 Woodking Dr, Idaho Falls, ID 83404-4720 Ph: (208) 529-2255

Reviews and Comments

Speech-Language Pathologist in Idaho Falls, ID

Ms. Margaret Ellen Adamski, M.S. Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 3346 Merlin Dr., Idaho Falls, ID 83404 Phone: 208-523-3226
Kliss Moulton, MS, SLP-CF Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3715 Woodking Dr, Idaho Falls, ID 83404 Phone: 208-529-2255
Brittany Long, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1460 Elk Creek Dr, Idaho Falls, ID 83404 Phone: 208-535-1286
Mrs. Brittany M Thomas, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 407 10th St, Idaho Falls, ID 83404 Phone: 208-709-1144
Mrs. Misty Richardson, MS, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2775 Sandy Cir, Idaho Falls, ID 83401 Phone: 208-520-8488
Britney Baumgartel, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1460 Elk Creek Dr, Idaho Falls, ID 83404 Phone: 208-535-1286
Cami Jo Finehout, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1460 Elk Creek Dr, Idaho Falls, ID 83404 Phone: 208-535-1286

Kristan M Bullock, MS, CCC-SLP - Medicare Speech-Language Pathologist in Idaho Falls, ID