MALLORY KAY BULCHAK NP
NPI 1811761711
Nurse Practitioner - Psychiatric/Mental Health in Clinton Township, MI
About Mallory Kay Bulchak Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MALLORY KAY BULCHAK NP (NPI 1811761711) is an individual psychiatric/mental health provider in Clinton Township, Michigan, licensed in Michigan (4704352280) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Warren, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mallory Kay Bulchak Np 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.
Medicare Billing Reassignments
4Medicare enrollment records show Mallory Bulchak reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Clinton Twp, MI 48036
- Reassigned Medicare billing, Michigan enrollment
- 120 clinicians in this Medicare group
Sterling Heights, MI 48312
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Training & Treatment Innovations Inc
- 46 clinicians in this Medicare group
Auburn Hills, MI 48326
- Reassigned Medicare billing, Michigan enrollment
- 4 clinicians in this Medicare group
Clarkston, MI 48346
- Reassigned Medicare billing, Michigan enrollment
- 132 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48038 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Mallory Bulchak's NPI number?
The NPI number for Mallory Bulchak is 1811761711. It was assigned to this individual provider in the NPPES registry on November 10, 2023.
Where is Mallory Bulchak located?
Mallory Bulchak practices at 42669 Garfield Rd, Clinton Township, MI 48038. The listed phone number is (800) 395-3223.
What is Mallory Bulchak's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Mallory Bulchak enrolled in Medicare?
Yes. Mallory Bulchak 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.
Which organizations bill Medicare for Mallory Bulchak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mallory Bulchak reassigns Medicare benefits to 4 organizations: County Of Macomb (Clinton Twp, MI), Training And Treatment Innovations Inc (Sterling Heights, MI), Vr Jasty MD Plc (Auburn Hills, MI) and Ismail B. Sendi, MD, PC (Clarkston, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mallory Bulchak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mallory Bulchak accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Mallory Bulchak 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 Mallory Bulchak was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Mallory Kay Bulchak, NP · NPI 1811761711
Psychiatric/Mental Health physician in Clinton Township, Michigan. Individual provider, active in the CMS NPPES registry since November 10, 2023.
## Identity
- **NPI:** 1811761711 (Entity type: Individual)
- **Enumerated:** November 10, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 4704352280 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 42669 GARFIELD RD, Clinton Township, MI 48038-1653
- **Phone:** (800) 395-3223
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): County Of Macomb (NPI 1942532197, Clinton Twp, MI); Training And Treatment Innovations Inc (NPI 1295084721, Sterling Heights, MI); Vr Jasty MD Plc (NPI 1780746602, Auburn Hills, MI); Ismail B. Sendi, MD, PC (NPI 1609882067, Clarkston, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** June 15, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1811761711) · Data from the CMS NPPES public registry.