Stacey Hopkins Pulliam, RD in Midlothian, VA - Medicare Dietitian, Registered Provider

Stacey Hopkins Pulliam, RD is a medicare enrolled "Dietitian, Registered" provider in Midlothian, Virginia. Her current practice location is 2312 Prenoman Ln, Midlothian, Virginia. You can reach out to her office (for appointments etc.) via phone at (804) 201-6919.

Stacey Hopkins Pulliam is licensed to practice in Virginia (license number 851600) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1831717651.

Contact Information

	Stacey Hopkins Pulliam, RD
	2312 Prenoman Ln, Midlothian, VA 23112-5246
	(804) 201-6919
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stacey Hopkins Pulliam
Gender	Female
Speciality	Dietitian, Registered
Location	2312 Prenoman Ln, Midlothian, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831717651
Provider Enumeration Date: 07/08/2020
Last Update Date: 07/08/2020

Medicare PECOS Information:

PECOS PAC ID: 2163806209
Enrollment ID: I20220908002105

Medical Identifiers

Medical identifiers for Stacey Hopkins Pulliam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831717651	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	851600 (Virginia)	Primary

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. Stacey Hopkins Pulliam allows following entities to bill medicare on her behalf.

Provider Name	Smart Nutrition, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1629548086 PECOS PAC ID: 7315284965 Enrollment ID: O20190122000001

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. Stacey Hopkins 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
Stacey Hopkins Pulliam, RD 2312 Prenoman Ln, Midlothian, VA 23112-5246 Ph: (804) 201-6919	Stacey Hopkins Pulliam, RD 2312 Prenoman Ln, Midlothian, VA 23112-5246 Ph: (804) 201-6919

Reviews and Comments

Dietitian, Registered in Midlothian, VA

Mrs. Laura M Stavinoha, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5055 Red Fern Ct, Midlothian, VA 23112 Phone: 804-437-0127
Mrs. Sandra B. Rhodes, RD383294 Dietitian Medicare: Not Enrolled in Medicare Practice Location: 13710 St Francis Blvd, Midlothian, VA 23114 Phone: 804-594-7879 Fax: 804-594-7875
Rebecca Mccarthy, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1106 Hawkins Wood Cir, Midlothian, VA 23114 Phone: 804-399-7310
Ms. Juliane Steenkamer, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 891 Dogwood Dell Ln, Midlothian, VA 23113 Phone: 804-335-4069
Mrs. Ronel Sandy Carpenter, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3723 Litton Ter, Midlothian, VA 23112 Phone: 407-616-5676
Patricia Lafratta, R.D., CSP Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2360 Colony Crossing Pl, Midlothian, VA 23112 Phone: 804-285-6834
Caton Marie Savage, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 13332 Midlothian Tpke, Midlothian, VA 23113 Phone: 804-794-5598 Fax: 804-378-1954

Stacey Hopkins Pulliam, RD - Medicare Dietitian in Midlothian, VA