Dr Forrest A Bullock, MD - Medicare Internal Medicine in South Jordan, UT

Dr Forrest A Bullock, MD is a medicare enrolled "Internal Medicine" physician in South Jordan, Utah. His current practice location is 5268 W Bowstring Way, South Jordan, Utah. You can reach out to his office (for appointments etc.) via phone at (307) 760-3869.

Dr Forrest A Bullock is licensed to practice in Utah (license number 7575794-1205) 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 1497730642.

Contact Information

Dr Forrest A Bullock, MD
5268 W Bowstring Way,
South Jordan, UT 84009-6161
(307) 760-3869
Not Available



Physician's Profile

Full NameDr Forrest A Bullock
GenderMale
SpecialityInternal Medicine
Location5268 W Bowstring Way, South Jordan, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1497730642
  • Provider Enumeration Date: 12/09/2005
  • Last Update Date: 12/14/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 2668466095
  • Enrollment ID: I20190304001041

Medical Identifiers

Medical identifiers for Dr Forrest A Bullock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497730642NPI-NPPES
8352718MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 7575794-1205 (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. Dr Forrest A 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
Dr Forrest A Bullock, MD
5268 W Bowstring Way,
South Jordan, UT 84009-6161

Ph: (307) 760-3869
Dr Forrest A Bullock, MD
5268 W Bowstring Way,
South Jordan, UT 84009-6161

Ph: (307) 760-3869

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Internal Medicine Doctors in South Jordan, UT

Theresa Gourde, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 10623 S Redwood Rd, Suite 101, South Jordan, UT 84095
Phone: 801-302-0899    Fax: 801-302-0892
Dr. Rachot K Vacharothone, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 10464 S Redwood Rd, South Jordan, UT 84095
Phone: 801-260-1919    Fax: 801-260-1441
Dr. Brigham Ronald Smith, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5126 W Daybreak Pkwy, South Jordan, UT 84009
Phone: 801-213-4500    
Martin A Hollingsworth, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3556 W 9800 S, #101, South Jordan, UT 84095
Phone: 801-567-9750    Fax: 801-567-9826
Patricia Legant, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 5126 W Daybreak Parkway, South Jordan Medical Center, South Jordan, UT 84095
Phone: 801-213-4319    

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