Roy J Pullukat, MD in Pontiac, MI - Medicare Pediatrics

Roy J Pullukat, MD is a medicare enrolled "Pediatrics" physician in Pontiac, Michigan. His current practice location is 44200 Woodward Ave, Suite 103, Pontiac, Michigan. You can reach out to his office (for appointments etc.) via phone at (248) 253-9600.

Roy J Pullukat is licensed to practice in Michigan (license number 4301099218) 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 1346537289.

Contact Information

	Roy J Pullukat, MD
	44200 Woodward Ave, Suite 103, Pontiac, MI 48341-5045
	(248) 253-9600
	(248) 253-0980

Physician's Profile

Full Name	Roy J Pullukat
Gender	Male
Speciality	Pediatrics
Location	44200 Woodward Ave, Pontiac, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346537289
Provider Enumeration Date: 06/29/2011
Last Update Date: 06/30/2014

Medicare PECOS Information:

PECOS PAC ID: 5294966677
Enrollment ID: I20140327002076

Medical Identifiers

Medical identifiers for Roy J Pullukat such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346537289	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	4301099218 (Michigan)	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. Roy J Pullukat 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
Roy J Pullukat, MD 44200 Woodward Ave, Suite 103, Pontiac, MI 48341-5045 Ph: (248) 253-9600	Roy J Pullukat, MD 44200 Woodward Ave, Suite 103, Pontiac, MI 48341-5045 Ph: (248) 253-9600

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Pediatrics Doctors in Pontiac, MI

Dr. Peter Alnajjar, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 673 Martin Luther King Blvd., Pontiac, MI 48342 Phone: 248-334-0024 Fax: 248-334-0842
Esam A. Kazem, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Henry Ford Health System, 44405 Woodward H-24, Pontiac, MI 48053 Phone: 248-858-3526 Fax: 248-858-3532
Amy Lynn Martin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 44405 Woodward Ave, Neonatal/perinatal Medicine, Pontiac, MI 48341 Phone: 248-333-7162
Gayatri Garg, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-3400 Fax: 248-858-6232
Emily Nowicki, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 242-858-3000
Kingsley Archer Thomas, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 989 University Dr, Suite 105, Pontiac, MI 48342 Phone: 248-373-2720 Fax: 248-373-3080

Roy J Pullukat, MD - Medicare Pediatrics in Pontiac, MI