| Tracy Pulliam, MD | |
|
1 Hospital Drive Se, Crestwood Hospital, Huntsville, AL 35801 | |
| (256) 429-5196 | |
| (256) 429-4573 |
| Full Name | Tracy Pulliam |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 1 Hospital Drive Se, Huntsville, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518095124 | NPI | - | NPPES |
| 510I110424 | Other | AL | MEDICARE |
| 109222 | Medicaid | AL | |
| 515-97252 | Other | AL | BCBS OF ALABAMA |
| 51539247 | Other | AL | BCBS OF ALABAMA |
| 051558692 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 26489 (Alabama) | Primary |
| 208M00000X | Hospitalist | 26489 (Alabama) | Secondary |
| Entity Name | Physynergy Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134465560 PECOS PAC ID: 6204081292 Enrollment ID: O20130222000456 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy Pulliam, MD Po Box 1814, Madison, AL 35758-5410 Ph: (256) 429-5196 | Tracy Pulliam, MD 1 Hospital Drive Se, Crestwood Hospital, Huntsville, AL 35801 Ph: (256) 429-5196 |
Dr. Ankur Jindal, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 Sivley Rd Sw, Suite 440, Huntsville, AL 35801 Phone: 256-265-0780 Fax: 256-265-0781 | |
Dr. Michael Frederick Donze Jr., D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Sivley Rd Sw, Huntsville, AL 35801 Phone: 256-801-6047 | |
Tarun Kukkadapu, MBBS Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1104 Monroe St Sw, Huntsville, AL 35801 Phone: 256-265-5864 Fax: 256-265-5865 | |
Jennifer L. Kiessling, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4601 Whitesburg Dr Se, Suite 201, Huntsville, AL 35802 Phone: 256-880-1050 Fax: 256-213-4681 | |
Zaid Al-rufaye, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 Governors Dr Sw Rm 396, Huntsville, AL 35801 Phone: 256-551-4652 | |
Mr. Jesse Dewayne Faulk, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 Governors Dr Sw, Huntsville, AL 35801 Phone: 256-536-5511 | |
Dr. William Alan Mccrory, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 725 Madison St Se, Huntsville, AL 35801 Phone: 256-265-5864 Fax: 256-265-5865 |