Mr Wendell Bart Bullock, PA-C in Flowood, MS - Physician Assistant

Mr Wendell Bart Bullock, PA-C is a Physician Assistant based in Flowood, Mississippi. Mr Wendell Bart Bullock is licensed to practice in Mississippi (license number PA00163) and his current practice location is 104 Burney Dr, Flowood, Mississippi. He can be reached at his office (for appointments etc.) via phone at (601) 987-8200.

NPI number for Mr Wendell Bart Bullock is 1689807612 and his current mailing address is 104 Burney Dr, Flowood, Mississippi. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1689807612.

Contact Information

	Mr Wendell Bart Bullock, PA-C
	104 Burney Dr, Flowood, MS 39232-6621
	(601) 987-8200
	(601) 987-8211

Provider's Profile

Full Name	Mr Wendell Bart Bullock
Gender	Male
Speciality	Physician Assistant
Location	104 Burney Dr, Flowood, Mississippi
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1689807612
Provider Enumeration Date: 08/25/2009
Last Update Date: 10/14/2020

Medical Identifiers

Medical identifiers for Mr Wendell Bart Bullock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689807612	NPI	-	NPPES
03856719	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA00163 (Mississippi)	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. Mr Wendell Bart Bullock is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Wendell Bart Bullock, PA-C 104 Burney Dr, Flowood, MS 39232-6621 Ph: (601) 987-8200	Mr Wendell Bart Bullock, PA-C 104 Burney Dr, Flowood, MS 39232-6621 Ph: (601) 987-8200

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Physician Assistant Nurses in Flowood, MS

Kristen Richardson, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 108 Belle Meade Pt, Flowood, MS 39232 Phone: 601-992-7002
Mrs. Leah Jones Calder, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 108 Belle Meade Pt, Flowood, MS 39232 Phone: 601-992-7002
Justin R. Goebel, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 104 Burney Dr, Flowood, MS 39232 Phone: 601-987-8200 Fax: 601-987-8211
Rachel M Sellers, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4436 Mangum Dr, Flowood, MS 39232 Phone: 601-586-7070 Fax: 601-586-7071
Brianna Nicole Watkins, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1040 River Oaks Dr Ste 103, Flowood, MS 39232 Phone: 601-948-6540
Mrs. Shelby Smith King, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 104 Burney Dr, Flowood, MS 39232 Phone: 601-987-8200
Miss Jenna Marie Ainsworth, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1006 Treetops Blvd, Suite 101, Flowood, MS 39232 Phone: 601-939-0005 Fax: 601-936-4949

Mr Wendell Bart Bullock, PA-C - Physician Assistant in Flowood, MS