Dr Achyutha S Pujari, MD is a
Pediatrics - Adolescent Medicine physician based in Ellisville, Mississippi. Dr Achyutha S Pujari is licensed to practice in Mississippi (license number 18395) and her current practice location is 1203 Ave B, Ste 200, Ellisville, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(601) 477-3550.
NPI number for Dr Achyutha S Pujari is 1518911445 and her current mailing address is Po Box 247, Laurel, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1518911445.
Physician's Profile
| Full Name | Dr Achyutha S Pujari |
|---|
| Gender | Female |
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| Speciality | Pediatrics - Adolescent Medicine |
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| Location | 1203 Ave B, Ellisville, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1518911445
- Provider Enumeration Date: 05/22/2006
- Last Update Date: 02/11/2014
Medical Identifiers
Medical identifiers for Dr Achyutha S Pujari such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518911445 | NPI | - | NPPES |
| 06877724 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2080A0000X | Pediatrics - Adolescent Medicine | 18395 (Mississippi) | Primary |
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. Dr Achyutha S Pujari is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Achyutha S Pujari, MD
Po Box 247,
Laurel, MS 39441-0247
Ph: (601) 399-6167 | Dr Achyutha S Pujari, MD
1203 Ave B, Ste 200,
Ellisville, MS 39437-2080
Ph: (601) 477-3550 |
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