Christian Jarrett Pulliam, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Winston Salem, North Carolina. His current practice location is
Medical Center Blvd, Winston Salem, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(336) 716-2255.
Christian Jarrett Pulliam is licensed to practice in North Carolina (license number RTL24-0798) 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 1073197083.
Physician's Profile
Full Name | Christian Jarrett Pulliam |
---|
Gender | Male |
---|
Speciality | Student In An Organized Health Care Education/training Program |
---|
Location | Medical Center Blvd, Winston Salem, North Carolina |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1073197083
- Provider Enumeration Date: 05/06/2021
- Last Update Date: 10/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 8426451659
- Enrollment ID: I20210727000116
Medical Identifiers
Medical identifiers for Christian Jarrett Pulliam such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073197083 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | LL83544 (South Carolina) | Secondary |
207R00000X | Internal Medicine | LL83544 (South Carolina) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | RTL24-0798 (North Carolina) | 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. Christian Jarrett 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 |
Christian Jarrett Pulliam, Medical Center Blvd, Winston Salem, NC 27157-0001 Ph: () - | Christian Jarrett Pulliam, Medical Center Blvd, Winston Salem, NC 27157-0001 Ph: (336) 716-2255 |
Reviews and Comments