Nicholas Dane Pulliam, CRNA in Winston Salem, NC - Medicare Certified Registered Nurse Anesthetist (crna)

Nicholas Dane Pulliam, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Winston Salem, North Carolina. He graduated from nursing school in 2015 and has 10 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Chs Anesthesia Services Group Inc and his current practice location is 145 Kimel Park Dr, Suite 120, Winston Salem, North Carolina. You can reach out to his office (for appointments etc.) via phone at (336) 768-3212.

Nicholas Dane Pulliam is licensed to practice in North Carolina (license number 5821) 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 1891171682.

Contact Information

	Nicholas Dane Pulliam, CRNA
	145 Kimel Park Dr, Suite 120, Winston Salem, NC 27103-6984
	(336) 768-3212
	(336) 768-9019

Map and Direction

Provider's Profile

Full Name	Nicholas Dane Pulliam
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	10 Years
Location	145 Kimel Park Dr, Winston Salem, North Carolina
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:

Nicholas Dane Pulliam graduated from nursing school in 2015

NPI Data:

NPI Number: 1891171682
Provider Enumeration Date: 08/04/2015
Last Update Date: 07/14/2025

Medicare PECOS Information:

PECOS PAC ID: 9133438716
Enrollment ID: I20151021002965

Medical Identifiers

Medical identifiers for Nicholas Dane Pulliam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891171682	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	222016 (North Carolina)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	5821 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Carolinas Medical Center-northeast	Concord, NC	Hospital
Novant Health Rowan Medical Center	Salisbury, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Chs Anesthesia Services Group Inc	5799007324	633

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. Nicholas Dane Pulliam allows following entities to bill medicare on his behalf.

Entity Name	Carolinaeast Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710923875 PECOS PAC ID: 1557272564 Enrollment ID: O20040311000538

Entity Name	Piedmont Triad Anesthesia Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467497081 PECOS PAC ID: 8426020025 Enrollment ID: O20040824000312

Entity Name	Chs Anesthesia Services Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346649415 PECOS PAC ID: 5799007324 Enrollment ID: O20141209001856

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. Nicholas Dane Pulliam 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
Nicholas Dane Pulliam, CRNA 145 Kimel Park Dr, Suite 120, Winston Salem, NC 27103-6984 Ph: (336) 768-3212	Nicholas Dane Pulliam, CRNA 145 Kimel Park Dr, Suite 120, Winston Salem, NC 27103-6984 Ph: (336) 768-3212

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Winston Salem, NC

Nicholas Ryan Tuttle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-409-1797
Yetta Hardy Clark, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 145 Kimel Park Dr, Suite 300, Winston Salem, NC 27103 Phone: 336-768-3212 Fax: 336-768-9019
Carie Sue Nunley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 145 Kimel Park Dr, Suite 120, Winston Salem, NC 27103 Phone: 336-768-3212 Fax: 336-768-9019
Connie Sue Freeman, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 145 Kimel Park Dr Ste 120, Winston Salem, NC 27103 Phone: 336-768-3212 Fax: 336-768-9019
Charlie Martin Robertson Iii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2011
Holly C Pegram, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 145 Kimel Park Dr, Suite 120, Winston Salem, NC 27103 Phone: 336-768-3212 Fax: 336-768-9019
Jessica Savidge Rose, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 145 Kimel Park Dr Ste 120, Winston Salem, NC 27103 Phone: 336-768-3212 Fax: 336-768-9019

Nicholas Dane Pulliam, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Winston Salem, NC