Priscilla Elizabeth Pulliam, NP - Medicare Nurse Practitioner in Jackson, MS

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Priscilla Elizabeth Pulliam, NP is a medicare enrolled "Nurse Practitioner" in Jackson, Mississippi. She graduated from nursing school in 2004 and has 20 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Grenada Emergency Group, Llc and her current practice location is 1030 River Oaks Dr, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 924-3719.

Priscilla Elizabeth Pulliam is licensed to practice in Mississippi (license number 865613) 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 1114975505.

Contact Information

Priscilla Elizabeth Pulliam, NP
1030 River Oaks Dr,
Jackson, MS 39232-9553
(601) 924-3719
Not Available

Map and Direction




Provider's Profile

Full NamePriscilla Elizabeth Pulliam
GenderFemale
SpecialityNurse Practitioner
Experience20 Years
Location1030 River Oaks Dr, Jackson, Mississippi
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:
  • Priscilla Elizabeth Pulliam graduated from nursing school in 2004
  NPI Data:
  • NPI Number: 1114975505
  • Provider Enumeration Date: 05/05/2006
  • Last Update Date: 05/23/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8426070327
  • Enrollment ID: I20051220000432

Medical Identifiers

Medical identifiers for Priscilla Elizabeth Pulliam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114975505NPI-NPPES
07338051MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 865613 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Holmes County Hospital And ClinicsLexington, MSHospital
Simpson General Hospital CahMendenhall, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Grenada Emergency Group, Llc216385422532

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. Priscilla Elizabeth Pulliam allows following entities to bill medicare on her behalf.
Entity NameIndependent Healthcare Management Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306909734
PECOS PAC ID: 0840197232
Enrollment ID: O20031215000487
Entity NameUnited Emergency Services Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326007915
PECOS PAC ID: 5799697272
Enrollment ID: O20040903000729
Entity NameState Of Mississippi - University Of Mississippi Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154317527
PECOS PAC ID: 1850293036
Enrollment ID: O20090414000575
Entity NameIndependent Healthcare Management Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1306909734
PECOS PAC ID: 0840197232
Enrollment ID: O20120111000488
Entity NameMississippi Emergency Physician Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710220678
PECOS PAC ID: 2264672492
Enrollment ID: O20130710000827
Entity NameCapital Emergency Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528405230
PECOS PAC ID: 0244471480
Enrollment ID: O20130730000783
Entity NameCapital Emergency Physicians Madison Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194176644
PECOS PAC ID: 6406140631
Enrollment ID: O20160810001113
Entity NameApp Of Mississippi Ed Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730687740
PECOS PAC ID: 3971865858
Enrollment ID: O20180313002534
Entity NameGrenada Emergency Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194388082
PECOS PAC ID: 2163854225
Enrollment ID: O20191112001896
Entity NameJackson Hb Medical Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184305856
PECOS PAC ID: 6103273131
Enrollment ID: O20231113001051

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. Priscilla Elizabeth Pulliam 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
Priscilla Elizabeth Pulliam, NP
2500 North State Street, Jmm Room 2525,
Jackson, MS 39216-4500

Ph: (601) 984-6426		Priscilla Elizabeth Pulliam, NP
1030 River Oaks Dr,
Jackson, MS 39232-9553

Ph: (601) 924-3719

Reviews and Comments


Nurse Practitioner Nurses in Jackson, MS

Jennifer Nichols Foreman, A-GNP-C
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Practice Location: 2500 N State St, Jackson, MS 39216
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Susan B Patterson, NP-C
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Phone: 601-969-6404    Fax: 601-973-4541
Caryl P. Sumrall, FNP
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Kathryn L. Navarro, NP
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Medicare: Accepting Medicare Assignments
Practice Location: 1850 Chadwick Dr, Jackson, MS 39204
Phone: 904-805-1300    Fax: 904-805-1302
Mr. Bradford Steele Martin, FNP-C
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Emily Brumfield, NP
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Medicare: Accepting Medicare Assignments
Practice Location: 2500 North State Street, Jackson, MS 39216
Phone: 601-984-5500    Fax: 601-984-5503
Mrs. Tiffany Griffin,
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Practice Location: 3450 Highway 80 West, Jackson, MS 39209
Phone: 601-321-2400    

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.