Lillie Demarest Bullock
NPI 1285304600ActiveIndividual· Physician Assistant· Anchorage, AK
Physician Assistant with Alaska Native Tribal Health Consortium, practicing in Anchorage, Alaska. In 2024 Medicare paid $8,881 for 136 patients, and Part D covered 227 of their prescriptions, 81% of them generic. Lists Alaska Native Medical Center as a hospital affiliation.
Overview
| NPI | 1285304600 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Sep 16, 2021 |
| Last updated in NPPES | Mar 9, 2023 |
| Certified by provider | Mar 9, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | AK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 136 |
|---|---|
| Services billed | 172 across 10 procedure codes |
| Paid by Medicare | $8,881 |
Part D prescriptions in 2024
| Prescriptions (claims) | 227 · 299 30-day fills |
|---|---|
| Patients | 87 |
| Total drug cost | $11,091 |
| Generic share | 81% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Alaska Native Tribal Health ConsortiumAnchorage, AK · 607 clinicians
Hospital affiliation
- Alaska Native Medical CenterAnchorage, AK
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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