Jyostna Deepika Pulla, MD - Medicare Internal Medicine in Fort Wayne, IN

Jyostna Deepika Pulla, MD is a medicare enrolled "Internal Medicine" physician in Fort Wayne, Indiana. She graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Carolinas Physicians Network Inc and her current practice location is 11109 Parkview Plaza Dr, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 266-2020.

Jyostna Deepika Pulla is licensed to practice in Michigan (license number 4301100546) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1114274586.

Contact Information

Jyostna Deepika Pulla, MD
11109 Parkview Plaza Dr,
Fort Wayne, IN 46845-1701
(260) 266-2020
(260) 266-2009

Map and Direction




Physician's Profile

Full NameJyostna Deepika Pulla
GenderFemale
SpecialityInternal Medicine
Experience16 Years
Location11109 Parkview Plaza Dr, Fort Wayne, Indiana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jyostna Deepika Pulla graduated from medical school in 2008
  NPI Data:
  • NPI Number: 1114274586
  • Provider Enumeration Date: 08/05/2012
  • Last Update Date: 04/25/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 6901195205
  • Enrollment ID: I20200217001408

Medical Identifiers

Medical identifiers for Jyostna Deepika Pulla such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114274586NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 4301100546 (Michigan)Primary
208000000XPediatrics 4301100546 (Michigan)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Carolinas Medical Center-northeastConcord, NCHospital
Carolinas Medical Center-pinevilleCharlotte, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Carolinas Physicians Network Inc33754496551649

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. Jyostna Deepika Pulla allows following entities to bill medicare on her behalf.
Entity NameCarolinas Physicians Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477878890
PECOS PAC ID: 3375449655
Enrollment ID: O20031219000455
Entity NameThe Charlotte-mecklenburg Hospital Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669738829
PECOS PAC ID: 2961310685
Enrollment ID: O20100309000605

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. Jyostna Deepika Pulla 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 AddressPractice Location Address
Jyostna Deepika Pulla, MD
1313 Winding Ridge Dr Apt 2b,
Grand Blanc, MI 48439-7553

Ph: (484) 343-8071
Jyostna Deepika Pulla, MD
11109 Parkview Plaza Dr,
Fort Wayne, IN 46845-1701

Ph: (260) 266-2020

Reviews and Comments


Internal Medicine Doctors in Fort Wayne, IN

Dr. Dustin M Thomas, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 11108 Parkview Plaza Dr, Fort Wayne, IN 46845
Phone: 260-266-5700    Fax: 260-266-5910
Ahmad Alhariri, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 11109 Parkview Plaza Dr, Fort Wayne, IN 46845
Phone: 260-266-2020    
Dr. Anuradha G Bommakanti, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804
Phone: 260-435-7001    
Eileen Jill Ramos Muzzillo, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4402 E State Blvd, Fort Wayne, IN 46815
Phone: 260-425-5600    Fax: 260-425-5605
John T Ducker, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7836 W Jefferson Blvd, Suite 101, Fort Wayne, IN 46804
Phone: 260-494-3484    Fax: 260-969-0188
Mr. Kenneth A Smith, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 1234 East Dupont Road, Suite 5, Fort Wayne, IN 46825
Phone: 260-489-1666    Fax: 260-489-3255
Dr. Carl Marc Williams, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 11104 Parkview Circle Dr, Fort Wayne, IN 46845
Phone: 260-373-9700    Fax: 260-373-9740

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.