Dr William Ralph Gulledge Jr, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Springdale, Utah. His current practice location is
2548 Anasazi Way, Springdale, Utah. You can reach out to his office (for appointments etc.) via phone at
(817) 921-4191.
Dr William Ralph Gulledge Jr is licensed to practice in Texas (license number E9213) 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 1164418364.
Physician's Profile
Full Name | Dr William Ralph Gulledge Jr |
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Gender | Male |
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Speciality | Psychiatry & Neurology - Neurology |
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Location | 2548 Anasazi Way, Springdale, Utah |
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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: 1164418364
- Provider Enumeration Date: 09/22/2005
- Last Update Date: 07/14/2015
Medicare PECOS Information:
- PECOS PAC ID: 6901970557
- Enrollment ID: I20100503000172
Medical Identifiers
Medical identifiers for Dr William Ralph Gulledge Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164418364 | NPI | - | NPPES |
PO84931FG | Medicaid | TX | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084N0400X | Psychiatry & Neurology - Neurology | E9213 (Texas) | 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 William Ralph Gulledge Jr 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 William Ralph Gulledge Jr, MD Po Box 247, Springdale, UT 84767-0247 Ph: (817) 929-1815 | Dr William Ralph Gulledge Jr, MD 2548 Anasazi Way, Springdale, UT 84767 Ph: (817) 921-4191 |
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