William H Pullen Jr, MD is a medicare enrolled "General Practice" physician in Dalton, Georgia. His current practice location is
1200 Memorial Dr, Dalton, Georgia. You can reach out to his office (for appointments etc.) via phone at
(706) 278-2105.
William H Pullen Jr is licensed to practice in Georgia (license number 017270) 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 1629009105.
Physician's Profile
| Full Name | William H Pullen Jr |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | 1200 Memorial Dr, Dalton, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1629009105
- Provider Enumeration Date: 07/05/2006
- Last Update Date: 03/25/2021
Medicare PECOS Information:
- PECOS PAC ID: 7517853286
- Enrollment ID: I20040413000064
Medical Identifiers
Medical identifiers for William H Pullen Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1629009105 | NPI | - | NPPES |
| P00242810 | Other | GA | RAILROAD MEDICARE |
| 000139609E | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | 017270 (Georgia) | Secondary |
| 208D00000X | General Practice | 017270 (Georgia) | 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. William H Pullen Jr allows following entities to bill medicare on his behalf.
| Entity Name | Hamilton Medical Center, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528056066 PECOS PAC ID: 0446151179 Enrollment ID: O20040116000053 |
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| Entity Name | Emergency Coverage Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050411000056 |
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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. William H Pullen Jr 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 |
William H Pullen Jr, MD 1200 Memorial Dr, Dalton, GA 30720-2529 Ph: (706) 272-6596 | William H Pullen Jr, MD 1200 Memorial Dr, Dalton, GA 30720-2529 Ph: (706) 278-2105 |
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