Lisa Ann Pullum, DO is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Greenville, Michigan. She went to Philadelphia College Of Osteopathic Medicine and graduated in 1990 and has 34 years of diverse experience with area of expertise as Pain Management. She is a member of the group practice Michigan Pain Consultants Pc and 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 | Pain Management |
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| Experience | 34 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 Philadelphia College Of Osteopathic Medicine in 1990
NPI Data:
- NPI Number: 1063476604
- Provider Enumeration Date: 04/12/2006
- Last Update Date: 05/06/2021
Medicare PECOS Information:
- PECOS PAC ID: 5092601047
- Enrollment ID: I20100212000591
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 |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Michigan Pain Consultants Pc | 8426959099 | 23 |
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. Lisa Ann Pullum allows following entities to bill medicare on her behalf.
| Entity Name | Michigan Pain Consultants Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467418574
PECOS PAC ID: 8426959099
Enrollment ID: O20040225001094 |
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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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