Dr Andrew Richard Pulliam, MD is a
Otolaryngology - Otolaryngology/facial Plastic Surgery physician based in Palmer, Alaska. Dr Andrew Richard Pulliam is licensed to practice in Alaska (license number 4516) and his current practice location is 2490 S Woodworth Loop, Suite 201, Palmer, Alaska. He can be reached at his office (for appointments etc.) via phone at
(907) 745-9200.
NPI number for Dr Andrew Richard Pulliam is 1134160120 and his current mailing address is 2490 S Woodworth Loop, Suite 201, Palmer, Alaska. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1134160120.
Physician's Profile
| Full Name | Dr Andrew Richard Pulliam |
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| Gender | Male |
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| Speciality | Otolaryngology - Otolaryngology/facial Plastic Surgery |
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| Location | 2490 S Woodworth Loop, Palmer, Alaska |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1134160120
- Provider Enumeration Date: 06/09/2006
- Last Update Date: 11/06/2013
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
NOT enrolled with medicare and thus cannot 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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