Gina M Bullock, DPM - Medicare Podiatrist in Portland, OR

Gina M Bullock, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Portland, Oregon. She went to California School Of Podiatric Medicine and graduated in 1992 and has 32 years of diverse experience with area of expertise as Podiatry. She is a member of the group practice Broadway Foot And Ankle Clinic Pc and her current practice location is 3508 Ne Broadway St, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 282-8777.

Gina M Bullock is licensed to practice in Oregon (license number DP00244) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1255440020.

Contact Information

Gina M Bullock, DPM
3508 Ne Broadway St,
Portland, OR 97232-1821
(503) 282-8777
(503) 282-8853



Healthcare Provider's Profile

Full NameGina M Bullock
GenderFemale
SpecialityPodiatry
Experience32 Years
Location3508 Ne Broadway St, Portland, Oregon
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Gina M Bullock attended and graduated from California School Of Podiatric Medicine in 1992
  NPI Data:
  • NPI Number: 1255440020
  • Provider Enumeration Date: 08/29/2006
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1557336567
  • Enrollment ID: I20040901000519

Medical Identifiers

Medical identifiers for Gina M Bullock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255440020NPI-NPPES
083431MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0103XPodiatrist - Foot & Ankle Surgery DP00244 (Oregon)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Broadway Foot And Ankle Clinic Pc32746318412

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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. Gina M Bullock allows following entities to bill medicare on her behalf.
Provider NameBroadway Foot & Ankle Clinic Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1457498438
PECOS PAC ID: 3274631841
Enrollment ID: O20070605000305

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Provider NameHillsboro Foot & Ankle Clinic, Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1790822401
PECOS PAC ID: 6305935578
Enrollment ID: O20071211000502

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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. Gina M 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
Gina M Bullock, DPM
3508 Ne Broadway St,
Portland, OR 97232-1821

Ph: (503) 282-8777
Gina M Bullock, DPM
3508 Ne Broadway St,
Portland, OR 97232-1821

Ph: (503) 282-8777

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Podiatrist in Portland, OR

Barnes Foot And Ankle
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 9615 Nw Randall Ln, Portland, OR 97229
Phone: 503-297-2222    
Edward Theodore Ysunza Iv,
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239
Phone: 503-220-8262    
Dr. Brian M. Bowen, D.P.M.
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 1717 Ne 42nd Ave, Suite 3300, Portland, OR 97213
Phone: 503-284-2000    Fax: 503-284-2002
Town Center Foot Clinic
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 8305 Se Monterey Ave Ste 101, Portland, OR 97266
Phone: 503-652-1121    Fax: 503-652-2193
Ray A Mcclanahan, DPM
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 725 Nw 19th Ave, Portland, OR 97209
Phone: 503-243-2699    Fax: 503-243-2698
Portland Foot And Ankle Institute, Llc
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 12672 Nw Barnes Rd Ste 100, Portland, OR 97229
Phone: 503-336-0169    Fax: 503-352-4583
Dr. Steven Gary Tillett, D.P.M.
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 6274 Sw Capitol Hwy, Portland, OR 97239
Phone: 503-246-2212    

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