Lisa Ann Pullum, DO is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Greenville, Michigan. Her current practice location is
6896 S Greenville Rd Ste 100, Greenville, Michigan. You can reach out to her office (for appointments etc.) via phone at
(616) 754-5036.
Lisa Ann Pullum is licensed to practice in Michigan (license number 5101013172) 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 1063476604.
Physician's Profile
| Full Name | Lisa Ann Pullum |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 6896 S Greenville Rd Ste 100, Greenville, Michigan |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Lisa Ann Pullum attended and graduated from in
NPI Data:
- NPI Number: 1063476604
- Provider Enumeration Date: 04/12/2006
- Last Update Date: 05/06/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Lisa Ann Pullum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063476604 | NPI | - | NPPES |
| 4802689-11 | Medicaid | MI | |
| 7681459 | Other | | AETNA |
| 30230 | Other | | HEALTH PLAN OF MICHIGAN |
| 555590041 | Other | MI | BCBSM |
| 3743669 | Other | | CIGNA |
| 7000027121 | Other | | PRIORITY HEALTH MEDICAID |
| 050067089 | Other | | RAILROAD MEDICARE |
| 7000027121 | Other | MI | PRIORITY HEALTH |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207LP2900X | Anesthesiology - Pain Medicine | 5101013172 (Michigan) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 5101013172 (Michigan) | 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. Lisa Ann Pullum 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 |
|---|
Lisa Ann Pullum, DO
5555 Glenwood Hills Pkwy Se Ste 2,
Grand Rapids, MI 49512-2091
Ph: (616) 940-2662 | Lisa Ann Pullum, DO
6896 S Greenville Rd Ste 100,
Greenville, MI 48838-1081
Ph: (616) 754-5036 |
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