CORINNE MARY BULLOCK
NPI 1083243836
Emergency Medicine in Tampa, FL

Q: What is Corinne Bullock's NPI number?

The NPI number for Corinne Bullock is 1083243836. It was assigned to this individual provider in the NPPES registry on April 3, 2020.

Q: What is Corinne Bullock's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Corinne Bullock was last updated on July 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 03, 2020PECOS EnrolledAccepts Medicare Assignment

3100 E FLETCHER AVE, TAMPA, FL 33613(813) 812-8670 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 5, 2023, May 22, 2023, May 21, 2023 and 1 more (4 updates tracked since 2020).

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About Corinne Mary Bullock NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORINNE MARY BULLOCK (NPI 1083243836) is an individual emergency medicine provider in Tampa, Florida, licensed in Florida (ME161025) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Ellis Hospital, and maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1083243836

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameCORINNE MARY BULLOCK

Location Address3100 E FLETCHER AVETampa, FL 33613-4613

Mailing Address3100 E Fletcher AveTampa, FL 33613-4613

Phone(813) 812-8670

Sole ProprietorNo

Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2020

Enumeration DateApril 3, 2020

Last NPPES UpdateJuly 5, 20234 updates tracked since enumeration

NPPES CertifiedJuly 5, 2023

✔ NPI 1083243836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in FL · ME161025✔ Licensed in TX · T4621

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

3100 E FLETCHER AVE, Tampa, FL 33613

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Secondary Practice Location 1

Location 12909 McKinney Ave Ste BDallas, TX 75204-7413 · Phone (214) 984-5608

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Sendero Health Plans, Local Nonprofit.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Corinne Mary Bullock is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345623229

PECOS Enrollment IDI20250218003186

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

194 services191 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

162 services148 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

39 services39 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

34 services33 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ellis Hospital

Acute Care Hospitals · Schenectady, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330153

Location1101 Nott StreetSchenectady, NY 12308 · Schenectady County

Emergency services Birthing friendly

Baptist Medical Center

Acute Care Hospitals · San Antonio, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number450058

Location111 Dallas StreetSan Antonio, TX 78205 · Bexar County

Emergency services Birthing friendly

Nacogdoches Medical Center

Acute Care Hospitals · Nacogdoches, TX

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number450656

Location4920 NE Stallings DriveNacogdoches, TX 75965 · Nacogdoches County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33613 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELEANOR INNOCENT DPT

Physical Therapist