Mr Brian Wade Pullam, in Niceville, FL - Medicare Nurse Practitioner

Mr Brian Wade Pullam, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Niceville, Florida. He graduated from nursing school in 2023 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Bluewater Behavioral Health, Inc. and his current practice location is 4400 Fl-20 Suite #306, Niceville, Florida. You can reach out to his office (for appointments etc.) via phone at (850) 797-2598.

Mr Brian Wade Pullam is licensed to practice in Florida (license number APRN11005354) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1770121535.

Contact Information

	Mr Brian Wade Pullam,
	4400 Fl-20 Suite #306, Niceville, FL 32578
	(850) 797-2598
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Brian Wade Pullam
Gender	Male
Speciality	Nurse Practitioner
Experience	1 Years
Location	4400 Fl-20 Suite #306, Niceville, Florida
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Brian Wade Pullam graduated from nursing school in 2023

NPI Data:

NPI Number: 1770121535
Provider Enumeration Date: 12/11/2019
Last Update Date: 08/20/2024

Medicare PECOS Information:

PECOS PAC ID: 3678900891
Enrollment ID: I20200228001661

Medical Identifiers

Medical identifiers for Mr Brian Wade Pullam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770121535	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	11005354 (Florida)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	APRN11005354 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sacred Heart Hospital On The Emerald Coast	Miramar beach, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Bluewater Behavioral Health, Inc.	3274873435	5

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. Mr Brian Wade Pullam allows following entities to bill medicare on his behalf.

Entity Name	Bluewater Behavioral Health, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922562628 PECOS PAC ID: 3274873435 Enrollment ID: O20190326000623

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. Mr Brian Wade Pullam 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
Mr Brian Wade Pullam, 1723 Pine Ave, Niceville, FL 32578-4600 Ph: (850) 368-4670	Mr Brian Wade Pullam, 4400 Fl-20 Suite #306, Niceville, FL 32578 Ph: (850) 797-2598

Reviews and Comments

Nurse Practitioner Nurses in Niceville, FL

Mrs. Misti D Schneidewind, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 105 Oakwood Cir, Niceville, FL 32578 Phone: 850-897-4547 Fax: 850-897-4547
Rachel Alexandra Marshall, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4586 E Highway 20 Ste A, Niceville, FL 32578 Phone: 850-897-0110 Fax: 850-897-1626
Shawn M. Lee, ACNP-BC, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2001 E Highway 20, Niceville, FL 32578 Phone: 508-863-8219 Fax: 850-863-8249
Elaine Peacock, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4562 E Highway 20, Niceville, FL 32578 Phone: 850-897-8550
Holly Dawn Graves, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1394 John Sims Pkwy E, Niceville, FL 32578 Phone: 850-517-1920 Fax: 850-517-1950
Kellie Kaiser Brock, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1571 Lakeside Dr, Niceville, FL 32578 Phone: 713-582-0937
Ms. Mauricia Dora Stanton, ARNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1005 College Blvd West, Suite B, Niceville, FL 32578 Phone: 850-279-6815

Mr Brian Wade Pullam, - Medicare Nurse Practitioner in Niceville, FL