Jeri Lynn Bullock, DDS - Medicare Dentist in Midvale, UT

Jeri Lynn Bullock, DDS is a medicare enrolled "Dentist - General Practice" provider in Midvale, Utah. Her current practice location is 1144 E Fort Union Blvd, Midvale, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 566-3118.

Jeri Lynn Bullock is licensed to practice in Utah (license number 90-0809888) 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 1396030003.

Contact Information

Jeri Lynn Bullock, DDS
1144 E Fort Union Blvd,
Midvale, UT 84047-1804
(801) 566-3118
Not Available



Healthcare Provider's Profile

Full NameJeri Lynn Bullock
GenderFemale
SpecialityDentist - General Practice
Location1144 E Fort Union Blvd, Midvale, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396030003
  • Provider Enumeration Date: 06/10/2011
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9335444934
  • Enrollment ID: I20160218002514

Medical Identifiers

Medical identifiers for Jeri Lynn Bullock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396030003NPI-NPPES
1019260MedicaidVT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 0401414490 (Virginia)Secondary
1223G0001XDentist - General Practice 016.0078267 (Vermont)Secondary
1223G0001XDentist - General Practice 90-0809888 (Utah)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. Jeri Lynn 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 AddressPractice Location Address
Jeri Lynn Bullock, DDS
1144 E Fort Union Blvd,
Midvale, UT 84047-1804

Ph: (801) 566-3118
Jeri Lynn Bullock, DDS
1144 E Fort Union Blvd,
Midvale, UT 84047-1804

Ph: (801) 566-3118

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› Verified 1 days ago


Dentist in Midvale, UT

Dr. Keith A Lever, D.D.S
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 7321 S State St, Ste #c, Midvale, UT 84047
Phone: 801-255-2514    Fax: 801-255-3040
Dr. Stanley K Presley, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 204 E Ft Union Blvd #102, Midvale, UT 84047
Phone: 801-561-9999    Fax: 801-561-9997
Barlow L. Packer, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1275 Fort Union Blvd, Suite 210, Midvale, UT 84047
Phone: 801-566-5959    Fax: 801-304-9322
Dr. Brent Dee Lundberg, D.M.D.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 684 W Center St, Midvale, UT 84047
Phone: 801-255-4953    
Dr. Jordan Sanger, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 6770 S 900 E Ste 301, Midvale, UT 84047
Phone: 801-416-1599    
Mr. Raymond J Curtis, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 7001 South 900 E, Suite 350, Midvale, UT 84047
Phone: 801-568-1600    Fax: 801-568-1879
Cabot Curtis, D.M.D.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 7001 S 900 E Ste 350, Midvale, UT 84047
Phone: 801-561-8131    

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