Dr Andrew Richard Pulliam, MD in Palmer, AK - Medicare Otolaryngology

Dr Andrew Richard Pulliam, MD is a medicare enrolled "Otolaryngology - Otolaryngology/facial Plastic Surgery" physician in Palmer, Alaska. His current practice location is 2490 S Woodworth Loop, Suite 201, Palmer, Alaska. You can reach out to his office (for appointments etc.) via phone at (907) 745-9200.

Dr Andrew Richard Pulliam is licensed to practice in Alaska (license number 4516) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1134160120.

Contact Information

	Dr Andrew Richard Pulliam, MD
	2490 S Woodworth Loop, Suite 201, Palmer, AK 99645-7405
	(907) 745-9200
	(907) 745-9201

Physician's Profile

Full Name	Dr Andrew Richard Pulliam
Gender	Male
Speciality	Otolaryngology - Otolaryngology/facial Plastic Surgery
Location	2490 S Woodworth Loop, Palmer, Alaska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134160120
Provider Enumeration Date: 06/09/2006
Last Update Date: 11/06/2013

Medicare PECOS Information:

PECOS PAC ID: 0941229322
Enrollment ID: I20051116001026

Medical Identifiers

Medical identifiers for Dr Andrew Richard Pulliam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134160120	NPI	-	NPPES
1013105	Medicaid	AK
K160457	Other		PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207YX0905X	Otolaryngology - Otolaryngology/facial Plastic Surgery	4516 (Alaska)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Andrew Richard Pulliam is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Andrew Richard Pulliam, MD 2490 S Woodworth Loop, Suite 201, Palmer, AK 99645-7405 Ph: (907) 745-9200	Dr Andrew Richard Pulliam, MD 2490 S Woodworth Loop, Suite 201, Palmer, AK 99645-7405 Ph: (907) 745-9200

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Dr Andrew Richard Pulliam, MD - Medicare Otolaryngology in Palmer, AK