Shelley Anne Bull, CPNP-PC - Medicare Nurse Practitioner in Oakland, CA

Shelley Anne Bull, CPNP-PC is a medicare enrolled "Nurse Practitioner - Pediatrics" in Oakland, California. Her current practice location is 747 52nd St, Oakland, California. You can reach out to her office (for appointments etc.) via phone at (510) 428-3885.

Shelley Anne Bull is licensed to practice in California (license number 95004982) 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 1003351560.

Contact Information

Shelley Anne Bull, CPNP-PC
747 52nd St,
Oakland, CA 94609-1809
(510) 428-3885
Not Available



Provider's Profile

Full NameShelley Anne Bull
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location747 52nd St, Oakland, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003351560
  • Provider Enumeration Date: 12/19/2016
  • Last Update Date: 12/19/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 5092081562
  • Enrollment ID: I20211025001974

Medical Identifiers

Medical identifiers for Shelley Anne Bull such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003351560NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics 95004982 (California)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. Shelley Anne Bull allows following entities to bill medicare on her behalf.
Entity NameUniversity Of California San Francisco
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861578973
PECOS PAC ID: 4486567229
Enrollment ID: O20031212000897

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Entity NameUniversity Anesthesia Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528137296
PECOS PAC ID: 2769370535
Enrollment ID: O20040304001219

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Entity NameUcsf Medical Group Business Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477624104
PECOS PAC ID: 3779497870
Enrollment ID: O20040622001513

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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. Shelley Anne Bull 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
Shelley Anne Bull, CPNP-PC
747 52nd St,
Oakland, CA 94609-1809

Ph: (510) 428-3885
Shelley Anne Bull, CPNP-PC
747 52nd St,
Oakland, CA 94609-1809

Ph: (510) 428-3885

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Nurse Practitioner Nurses in Oakland, CA

Emily Duane Lloyd, NPF
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1030 International Blvd, Oakland, CA 94606
Phone: 510-238-5400    Fax: 510-238-5437
Erica Tringale, N.P,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 747 52nd St, Oakland, CA 94609
Phone: 510-428-3373    
Mrs. Michelle Annette Harris-miller, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3025 High St, Oakland, CA 94619
Phone: 510-261-5200    
Annie Roque,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 747 52nd St, Oakland, CA 94609
Phone: 510-428-4418    
Mr. Keith M. Thibault, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 275 W Macarthur, Oakland, CA 94611
Phone: 510-752-1000    
Colleen Mccullough, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2950 International Blvd, Oakland, CA 94601
Phone: 510-535-4400    

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