Dr Michael Brent Bulloch, DO - Medicare Family Practice in Cedar City, UT

Dr Michael Brent Bulloch, DO is a medicare enrolled "Family Medicine" physician in Cedar City, Utah. He went to Arizona College Of Osteopathic Medicine Mid Western University and graduated in 2012 and has 12 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Cedar Ridge Family Medicine and his current practice location is 110 W 1325 N Ste 200, Cedar City, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 586-7676.

Dr Michael Brent Bulloch is licensed to practice in Utah (license number 94725281204) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1700149804.

Contact Information

Dr Michael Brent Bulloch, DO
110 W 1325 N Ste 200,
Cedar City, UT 84721-8179
(435) 586-7676
Not Available



Physician's Profile

Full NameDr Michael Brent Bulloch
GenderMale
SpecialityFamily Practice
Experience12 Years
Location110 W 1325 N Ste 200, Cedar City, Utah
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Michael Brent Bulloch attended and graduated from Arizona College Of Osteopathic Medicine Mid Western University in 2012
  NPI Data:
  • NPI Number: 1700149804
  • Provider Enumeration Date: 06/22/2012
  • Last Update Date: 12/13/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7315161650
  • Enrollment ID: I20151027001936

Medical Identifiers

Medical identifiers for Dr Michael Brent Bulloch such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700149804NPI-NPPES
1700149804MedicaidUT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 94725281204 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Zion's Way Home HealthSt george, UTHome health agency
Horizon Hospice Specialists - SgSt george, UTHospice
Cedar City HospitalCedar city, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cedar Ridge Family Medicine39715538848

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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. Dr Michael Brent Bulloch allows following entities to bill medicare on his behalf.
Entity NameCedar Ridge Family Medicine
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740260504
PECOS PAC ID: 3971553884
Enrollment ID: O20050128000118

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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 Michael Brent Bulloch 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 Michael Brent Bulloch, DO
110 W 1325 N Ste 200,
Cedar City, UT 84721-8179

Ph: (435) 586-7676
Dr Michael Brent Bulloch, DO
110 W 1325 N Ste 200,
Cedar City, UT 84721-8179

Ph: (435) 586-7676

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Family Medicine Doctors in Cedar City, UT

Dr. Mark Willis Corry, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1303 N Main St., Suite C, Cedar City, UT 84721
Phone: 435-868-5500    Fax: 435-868-5538
Steven Richard Newman, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1303 N Main St, Cedar City, UT 84721
Phone: 435-586-7676    
Dr. David Warren Brown, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 345 S 600 W, Cedar City, UT 84720
Phone: 435-586-1372    
Broc B Parson, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 962 Sage Dr, Cedar City, UT 84720
Phone: 435-865-3440    Fax: 435-865-3472
Dr. Clint O Bunker, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1303 N Main St # 3c, Cedar City, UT 84720
Phone: 435-868-5500    
Jacob Corry, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1303 N Main St, Ste 3c, Cedar City, UT 84721
Phone: 435-868-5500    
Mitchell Joe Melling, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1303 N Main St, Cedar City, UT 84721
Phone: 435-868-5567    

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