Mrs Cheryl Lynn Pullium, DNP APRN RN ACNS-BC is a medicare enrolled "Clinical Nurse Specialist - Adult Health" in Bryan, Texas. Her current practice location is
2370 W Briargate Dr, Bryan, Texas. You can reach out to her office (for appointments etc.) via phone at
(512) 629-5620.
Mrs Cheryl Lynn Pullium is licensed to practice in Texas (license number AP115558) 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 1871643270.
Provider's Profile
Full Name | Mrs Cheryl Lynn Pullium |
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Gender | Female |
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Speciality | Clinical Nurse Specialist - Adult Health |
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Location | 2370 W Briargate Dr, Bryan, Texas |
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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: 1871643270
- Provider Enumeration Date: 01/11/2007
- Last Update Date: 10/12/2022
Medicare PECOS Information:
- PECOS PAC ID: 1759422355
- Enrollment ID: I20100105000199
Medical Identifiers
Medical identifiers for Mrs Cheryl Lynn Pullium such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871643270 | NPI | - | NPPES |
283268502 | Medicaid | TX | |
283268501 | Medicaid | TX | |
847N86 | Other | TX | BCBS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
364SA2200X | Clinical Nurse Specialist - Adult Health | AP115558 (Texas) | Primary |
364SA2200X | Clinical Nurse Specialist - Adult Health | 660646 (Texas) | Secondary |
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. Mrs Cheryl Lynn Pullium allows following entities to bill medicare on her behalf.
Entity Name | Bluebonnet Trails Community Mhmr Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1730135864 PECOS PAC ID: 5799775409 Enrollment ID: O20040514000751 |
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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. Mrs Cheryl Lynn Pullium 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 |
Mrs Cheryl Lynn Pullium, DNP APRN RN ACNS-BC 1601 Rio Grande St, Suite 340, Austin, TX 78701-1137 Ph: (512) 324-8960 | Mrs Cheryl Lynn Pullium, DNP APRN RN ACNS-BC 2370 W Briargate Dr, Bryan, TX 77802-2117 Ph: (512) 629-5620 |
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