Graciela Ruth Pulliam, MA LMHC in Orange City, FL

Graciela Ruth Pulliam, MA LMHC is a medicare enrolled "Counselor - Mental Health" provider in Orange City, Florida. Her current practice location is 2425 S Volusia Ave Ste B4, Orange City, Florida. You can reach out to her office (for appointments etc.) via phone at (321) 578-7488.

Graciela Ruth Pulliam is licensed to practice in Florida (license number MH9913) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1578704078.

Contact Information

	Graciela Ruth Pulliam, MA LMHC
	2425 S Volusia Ave Ste B4, Orange City, FL 32763-7625
	(321) 578-7488
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Graciela Ruth Pulliam
Gender	Female
Speciality	Counselor - Mental Health
Location	2425 S Volusia Ave Ste B4, Orange City, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578704078
Provider Enumeration Date: 03/12/2009
Last Update Date: 06/14/2023

Medicare PECOS Information:

PECOS PAC ID: 2466899547
Enrollment ID: I20240325003034

Medical Identifiers

Medical identifiers for Graciela Ruth Pulliam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578704078	NPI	-	NPPES
014378900	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	MH9913 (Florida)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Graciela Ruth Pulliam allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053

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. Graciela Ruth 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
Graciela Ruth Pulliam, MA LMHC 3467 Heath Dr, Deltona, FL 32725-3098 Ph: (321) 578-7488	Graciela Ruth Pulliam, MA LMHC 2425 S Volusia Ave Ste B4, Orange City, FL 32763-7625 Ph: (321) 578-7488

Reviews and Comments

Counselor in Orange City, FL

Brenda E Tejada Nunez, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 745 W Lansdowne Ave, Orange City, FL 32763 Phone: 787-340-9022
Lisa M Eddy, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 703 Fawn Ridge Dr, Orange City, FL 32763 Phone: 386-479-1049
Veronica Faye Petkus, MS, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 418 Treemonte Dr, Orange City, FL 32763 Phone: 386-212-3643
Marie A. Davis, LMHC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2425 S Volusia Ave, Suite B-4, Orange City, FL 32763 Phone: 407-416-5454 Fax: 386-775-7268
Becky Blondell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2425 S Volusia Ave, Suite B2, Orange City, FL 32763 Phone: 386-259-0395
Gloria Lucia Restrepo Beaux, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1506 E Lansdowne Ave, Orange City, FL 32763 Phone: 407-883-8346
Mrs. Judy(judith) Ann Cella, MH 13580 Counselor Medicare: Not Enrolled in Medicare Practice Location: 2425 S Volusia Ave, Suite B-4, Orange City, FL 32763 Phone: 407-452-4464

Graciela Ruth Pulliam, MA LMHC - Medicare Counselor in Orange City, FL