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.
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 | 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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