Fredric W Pullen Ii, MD is a medicare enrolled "Otolaryngology" physician in Wellington, Florida. His current practice location is
13100 Doubletree Cir, Wellington, Florida. You can reach out to his office (for appointments etc.) via phone at
(786) 252-7290.
Fredric W Pullen Ii is licensed to practice in Florida (license number ME13398) 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 1164423083.
Physician's Profile
| Full Name | Fredric W Pullen Ii |
|---|
| Gender | Male |
|---|
| Speciality | Otolaryngology |
|---|
| Location | 13100 Doubletree Cir, Wellington, Florida |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1164423083
- Provider Enumeration Date: 08/02/2005
- Last Update Date: 07/20/2019
Medicare PECOS Information:
- PECOS PAC ID: 5294634960
- Enrollment ID: I20040106000093
Medical Identifiers
Medical identifiers for Fredric W Pullen Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164423083 | NPI | - | NPPES |
| 269264300 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Y00000X | Otolaryngology | ME13398 (Florida) | Primary |
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. Fredric W Pullen Ii allows following entities to bill medicare on his behalf.
| Entity Name | University Of Miami |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1013967827
PECOS PAC ID: 3274795109
Enrollment ID: O20200406001006 |
|---|
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. Fredric W Pullen Ii 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 |
|---|
Fredric W Pullen Ii, MD
13100 Doubletree Cir,
Wellington, FL 33414-4037
Ph: (561) 784-7500 | Fredric W Pullen Ii, MD
13100 Doubletree Cir,
Wellington, FL 33414-4037
Ph: (786) 252-7290 |
Reviews and Comments