Mr Kristopher Vaughn Pullam, MD in Fenton, MO

Mr Kristopher Vaughn Pullam, MD is a medicare enrolled "Family Medicine" physician in Fenton, Missouri. He graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Mercy Clinic East Communities and his current practice location is 1203 Smizer Mill Rd Ste 105, Fenton, Missouri. You can reach out to his office (for appointments etc.) via phone at (636) 717-1350.

Mr Kristopher Vaughn Pullam is licensed to practice in Missouri (license number 2021019546) 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 1679067276.

Contact Information

	Mr Kristopher Vaughn Pullam, MD
	1203 Smizer Mill Rd Ste 105, Fenton, MO 63026-3483
	(636) 717-1350
	Not Available

Map and Direction

Physician's Profile

Full Name	Mr Kristopher Vaughn Pullam
Gender	Male
Speciality	Family Practice
Experience	6 Years
Location	1203 Smizer Mill Rd Ste 105, Fenton, Missouri
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 Kristopher Vaughn Pullam graduated from medical school in 2018

NPI Data:

NPI Number: 1679067276
Provider Enumeration Date: 06/18/2018
Last Update Date: 06/08/2021

Medicare PECOS Information:

PECOS PAC ID: 3678822269
Enrollment ID: I20211020002439

Medical Identifiers

Medical identifiers for Mr Kristopher Vaughn Pullam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679067276	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	2021019546 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercy Hospital St Louis	Saint louis, MO	Hospital
Mercy Hospital Washington	Washington, MO	Hospital
Mercy Hospital South	Saint louis, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mercy Clinic East Communities	7214827922	491

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 Kristopher Vaughn Pullam allows following entities to bill medicare on his behalf.

Entity Name	Mercy Clinic East Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851335228 PECOS PAC ID: 7214827922 Enrollment ID: O20070521000006

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 Kristopher Vaughn 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 Kristopher Vaughn Pullam, MD 1203 Smizer Mill Rd Ste 105, Fenton, MO 63026-3483 Ph: (636) 717-1350	Mr Kristopher Vaughn Pullam, MD 1203 Smizer Mill Rd Ste 105, Fenton, MO 63026-3483 Ph: (636) 717-1350

Reviews and Comments

Family Medicine Doctors in Fenton, MO

Susan J. Davis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1345 Smizer Mill Rd Ste 1100, Fenton, MO 63026 Phone: 636-496-5023
Sarah Ludlow, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1345 Smizer Mill Rd Ste 1100, Fenton, MO 63026 Phone: 636-496-5022
Dr. John Martin Crowe Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1670 Fenpark Dr, Fenton, MO 63026 Phone: 636-492-6376 Fax: 636-326-6557
Dr. Melissa Ann Muench, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 714 Gravois Rd Ste 210, Fenton, MO 63026 Phone: 636-660-9850 Fax: 636-660-9851
Dr. Justin E. Hugo, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 714 Gravois Rd, Suite 210, Fenton, MO 63026 Phone: 314-543-5230 Fax: 314-543-5280
Mr. Christopher Paul Friesen, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 320 Gravois Rd, Suite B, Fenton, MO 63026 Phone: 636-305-1899 Fax: 636-305-1898
Brenda Lynn Buckley, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1747 Smizer Station Rd, Suite 5, Fenton, MO 63026 Phone: 636-529-7000 Fax: 636-529-7003

Mr Kristopher Vaughn Pullam, MD - Medicare Family Practice in Fenton, MO