Ms Fatima Queennel Bullock, MA, CCC-SLP in Indianapolis, IN - Medicare Speech-Language Pathologist Provider

Ms Fatima Queennel Bullock, MA, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Indianapolis, Indiana. Her current practice location is 5402 Milroy Rd, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 869-8826.

Ms Fatima Queennel Bullock is licensed to practice in Indiana (license number 22004003A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1164900502.

Contact Information

	Ms Fatima Queennel Bullock, MA, CCC-SLP
	5402 Milroy Rd, Indianapolis, IN 46216-2088
	(317) 869-8826
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Fatima Queennel Bullock
Gender	Female
Speciality	Speech-language Pathologist
Location	5402 Milroy Rd, Indianapolis, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164900502
Provider Enumeration Date: 07/28/2018
Last Update Date: 07/28/2018

Medicare PECOS Information:

PECOS PAC ID: 7719211804
Enrollment ID: I20190624001695

Medical Identifiers

Medical identifiers for Ms Fatima Queennel Bullock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164900502	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	22004003A (Indiana)	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. Ms Fatima Queennel Bullock allows following entities to bill medicare on her behalf.

Provider Name	Healthpro Heritage Rehab & Fitness Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1053833657 PECOS PAC ID: 6507832573 Enrollment ID: O20171009003264

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. Ms Fatima Queennel 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
Ms Fatima Queennel Bullock, MA, CCC-SLP 5402 Milroy Rd, Indianapolis, IN 46216-2088 Ph: (317) 869-8826	Ms Fatima Queennel Bullock, MA, CCC-SLP 5402 Milroy Rd, Indianapolis, IN 46216-2088 Ph: (317) 869-8826

Reviews and Comments

Speech-Language Pathologist in Indianapolis, IN

Mrs. Rachelle Lyn Ferguson, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8616 W 10th St, Indianapolis, IN 46234 Phone: 317-209-2332
Anne P Droese, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6923 Hillsdale Ct, Indianapolis, IN 46250 Phone: 317-472-6150 Fax: 317-644-8050
Mrs. Samantha Lonetta Rae Hannah, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8921 Southpointe Dr, Suite C-1, Indianapolis, IN 46227 Phone: 317-881-1718 Fax: 317-881-1728
Ms. Courtney Elese Gorbandt, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6239 S East St Ste A, Indianapolis, IN 46227 Phone: 317-791-9031
Julia Porter, MSP, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 8111 S Emerson Ave, Indianapolis, IN 46237 Phone: 317-528-8111
Sarah Dixon, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8111 S Emerson Ave, Indianapolis, IN 46237 Phone: 317-528-8111
Taralynn Morgan Brown, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6239 S East St Ste I, Indianapolis, IN 46227 Phone: 317-561-1888

Ms Fatima Queennel Bullock, MA, CCC-SLP - Medicare Speech-Language Pathologist in Indianapolis, IN