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Paige Marie Bullock

NPI 1639451719ActiveIndividual· Specialist· Bryant, AR

Specialist in Bryant, Arkansas, licensed in AR, with an NPI issued in September 2011. Medicare paid $14,826 for services to 20 patients in 2024.

Overview

NPI1639451719
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedSep 14, 2011
Last updated in NPPESSep 14, 2011

Specialties and licenses

TaxonomyCodeLicenseState
Specialist Primary174400000XPT3412AR

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients20
Services billed890 across 8 procedure codes
Paid by Medicare$14,826

Medicare sources and data years

Other Specialist providers in Bryant

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