Dr Ian Thomas Pulliam, DO in Tracy, CA - Medicare Family Practice

Dr Ian Thomas Pulliam, DO is a medicare enrolled "Family Medicine" physician in Tracy, California. He went to Des Moines University Of Osteopathic Medicine And Health Sciences and graduated in 1993 and has 31 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Premier Urgent Care A Professional Medical Corporation and his current practice location is 644 W 12th St, Tracy, California. You can reach out to his office (for appointments etc.) via phone at (209) 832-8984.

Dr Ian Thomas Pulliam is licensed to practice in California (license number 20A7496) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1245262682.

Contact Information

	Dr Ian Thomas Pulliam, DO
	644 W 12th St, Tracy, CA 95376-3437
	(209) 832-8984
	(209) 832-8988

Map and Direction

Physician's Profile

Full Name	Dr Ian Thomas Pulliam
Gender	Male
Speciality	Family Practice
Experience	31 Years
Location	644 W 12th St, Tracy, California
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Ian Thomas Pulliam attended and graduated from Des Moines University Of Osteopathic Medicine And Health Sciences in 1993

NPI Data:

NPI Number: 1245262682
Provider Enumeration Date: 07/07/2006
Last Update Date: 03/21/2011

Medicare PECOS Information:

PECOS PAC ID: 4486692704
Enrollment ID: I20050418001303

Medical Identifiers

Medical identifiers for Dr Ian Thomas Pulliam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245262682	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207QS0010X	Family Medicine - Sports Medicine	20A7496 (California)	Secondary
207Q00000X	Family Medicine	20A7496 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sutter Tracy Community Hospital	Tracy, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Premier Urgent Care A Professional Medical Corporation	6507893104	2

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. Dr Ian Thomas Pulliam allows following entities to bill medicare on his behalf.

Entity Name	Premier Urgent Care A Professional Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568522878 PECOS PAC ID: 6507893104 Enrollment ID: O20050726000411

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 Ian Thomas 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 Ian Thomas Pulliam, DO 644 W 12th St, Tracy, CA 95376-3437 Ph: (209) 832-8984	Dr Ian Thomas Pulliam, DO 644 W 12th St, Tracy, CA 95376-3437 Ph: (209) 832-8984

Reviews and Comments

Family Medicine Doctors in Tracy, CA

Dr. Robert Marroquin Acosta, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1530 Bessie Ave, Tracy, CA 95376 Phone: 209-834-1443
Dr. Shital C. Hubli, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1470 Bessie Ave, Tracy, CA 95376 Phone: 209-833-0525 Fax: 209-830-7361
Dr. Stephen Robert Kruger, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 445 W Eaton Ave, Tracy, CA 95376 Phone: 209-830-4075
Mahesh K Sehgal, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 W Eaton Ave, Tracy, CA 95376 Phone: 209-832-8560 Fax: 209-832-3119
Dr. Sumitra Ramireddy, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 730 N Central Ave, Tracy, CA 95376 Phone: 209-820-1500
Pranjalkumar H Patel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1530 Bessie Ave, Suite 105, Tracy, CA 95376 Phone: 209-836-3967 Fax: 209-836-0626

Dr Ian Thomas Pulliam, DO - Medicare Family Practice in Tracy, CA