1. Home
  2. Directory
  3. Alaska
  4. Anchorage
  5. Physician Assistant
  6. NPI Profile

LILLIE DEMAREST BULLOCK
NPI 1285304600
Physician Assistant in Anchorage, AK

Active since September 16, 2021PECOS EnrolledAccepts Medicare Assignment
4320 DIPLOMACY DR, ANCHORAGE, AK 99508(907) 729-3300 Get Directions Write a Review

NPPES record last updated: March 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 9, 2023, Jan 18, 2023, Sep 16, 2021 (3 updates tracked since 2021).

About Lillie Demarest Bullock NPPES

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

LILLIE DEMAREST BULLOCK (NPI 1285304600) is an individual physician assistant in Anchorage, Alaska and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Seattle, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1285304600
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLILLIE DEMAREST BULLOCK
Location Address4320 DIPLOMACY DRAnchorage, AK 99508-5925
Mailing Address7033 E Tudor RdAnchorage, AK 99507-1262 · (907) 729-8961 · Fax (907) 729-6353
Phone(907) 729-3300
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 16, 2021
Last NPPES UpdateMarch 9, 20233 updates tracked since enumeration
NPPES CertifiedMarch 9, 2023
✔ NPI 1285304600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4320 DIPLOMACY DR, Anchorage, AK 99508
Open in Google Maps ↗

Secondary Practice Location 1

Location 1MEDEX Northwest, 4311 11th Avenue NE Suite 200Seattle, WA 98105 · Phone (206) 616-4001

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.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

Lillie Demarest 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 ID8224402763
PECOS Enrollment IDI20230323000853
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 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
111 services95 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
28 services27 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99508 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
$111.57 typical visit price
range $71.33 – $222.64
Typical copayment $27.89 (range $17.83 – $55.66)
Most-billed visit code 99203
Established Patient
$90.40 typical visit price
range $21.84 – $181.48
Typical copayment $22.60 (range $5.46 – $45.37)
Most-billed visit code 99213
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.

EDWARD WASHINGTON II
Counselor (Mental Health)
4320 DIPLOMACY DR
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-0000
HEIDI GORDON CRS
Community Health Worker
4320 DIPLOMACY DR
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-3300
KRISTINA BALLINGER COHEN PHARMD
Pharmacist
4320 DIPLOMACY DR, ANMC PRIMARY CARE CENTER PHARMACY
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-8874
SHANNON CHASE CHAP
Community Health Worker
4320 DIPLOMACY DR
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-4955
MARY RENEE SPATAFORE PHARMD, RPH
Pharmacist
4320 DIPLOMACY DR
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-2159
RYAN T. MCWILLIAMS MD
Family Medicine
4320 DIPLOMACY DR, SUITE 1191
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-6321
SOUTHCENTRAL FOUNDATION
General Acute Care Hospital
4320 DIPLOMACY DR
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-3300
SUSANNA PETRIE RN
Registered Nurse
4320 DIPLOMACY DR
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-3316

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lillie Bullock's NPI number?

The NPI number for Lillie Bullock is 1285304600. It was assigned to this individual provider in the NPPES registry on September 16, 2021.

Where is Lillie Bullock located?

Lillie Bullock practices at 4320 Diplomacy Dr, Anchorage, AK 99508. The listed phone number is (907) 729-3300.

What is Lillie Bullock's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Lillie Bullock enrolled in Medicare?

Yes. Lillie Bullock is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lillie Bullock accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Lillie Bullock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lillie Bullock was last updated on March 9, 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.