David Alden Pulliam, LMHC in Longview, WA - Medicare Counselor Provider

David Alden Pulliam, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Longview, Washington. His current practice location is 1055 9th Ave # A, Longview, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 577-8140.

David Alden Pulliam is licensed to practice in Washington (license number LH60274245) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1063787216.

Contact Information

	David Alden Pulliam, LMHC
	1055 9th Ave # A, Longview, WA 98632-2662
	(360) 577-8140
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	David Alden Pulliam
Gender	Male
Speciality	Counselor - Mental Health
Location	1055 9th Ave # A, Longview, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063787216
Provider Enumeration Date: 03/20/2012
Last Update Date: 03/21/2012

Medicare PECOS Information:

PECOS PAC ID: 3173966173
Enrollment ID: I20240207000173

Medical Identifiers

Medical identifiers for David Alden Pulliam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063787216	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LH60274245 (Washington)	Primary
101YM0800X	Counselor - Mental Health	C2814 (Oregon)	Secondary

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. David Alden Pulliam allows following entities to bill medicare on his behalf.

Entity Name	Cowlitz Indian Tribe
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740562909 PECOS PAC ID: 8820030133 Enrollment ID: O20050526000589

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. David Alden 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 Address	Practice Location Address
David Alden Pulliam, LMHC 1055 9th Ave # A, Longview, WA 98632-2662 Ph: (360) 577-8140	David Alden Pulliam, LMHC 1055 9th Ave # A, Longview, WA 98632-2662 Ph: (360) 577-8140

Reviews and Comments

Counselor in Longview, WA

Mohammed Yunus, Counselor Medicare: Not Enrolled in Medicare Practice Location: 921 14th Ave, Longview, WA 98632 Phone: 360-423-0203 Fax: 360-577-0269
Danielle L Jenkins Thompson, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 921 14th Ave, Longview, WA 98632 Phone: 360-423-0203
Marena Berishev, Counselor Medicare: Not Enrolled in Medicare Practice Location: 748 14th Ave, Longview, WA 98632 Phone: 360-200-5419
Mrs. Michelle Chapman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 720 14th Ave, Longview, WA 98632 Phone: 360-423-0203 Fax: 360-577-0269
Melissa Jarvis, Counselor Medicare: Medicare Enrolled Practice Location: 720 14th Ave, Longview, WA 98632 Phone: 360-423-0203 Fax: 360-577-0187
Rachel A Gaines, SUDPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 748 14th Ave, Longview, WA 98632 Phone: 360-200-5419 Fax: 360-200-6736
Charlotte Anne Rosen, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1157 3rd Ave, Suite 100, Longview, WA 98632 Phone: 360-636-5653

David Alden Pulliam, LMHC - Medicare Counselor in Longview, WA