Dr Christopher Lawrence Pulliam, DPM is a medicare enrolled "Podiatrist" provider in Green Cove Springs, Florida. His current practice location is
3497 Lawton Pl, Green Cove Springs, Florida. You can reach out to his office (for appointments etc.) via phone at
(913) 708-4802.
Dr Christopher Lawrence Pulliam is licensed to practice in Kansas (license number 12-00359) 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 1134183270.
Healthcare Provider's Profile
| Full Name | Dr Christopher Lawrence Pulliam |
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| Gender | Male |
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| Speciality | Podiatrist |
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| Location | 3497 Lawton Pl, Green Cove Springs, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1134183270
- Provider Enumeration Date: 04/14/2006
- Last Update Date: 09/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 1456549708
- Enrollment ID: I20101230000569
Medical Identifiers
Medical identifiers for Dr Christopher Lawrence Pulliam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134183270 | NPI | - | NPPES |
| PO4499 | Other | FL | PODIATRY |
| 12-00359 | Other | KS | KANSAS LICENSE NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | 12-00359 (Kansas) | Primary |
| 213ES0000X | Podiatrist - Sports Medicine | 0359 (Kansas) | Secondary |
| 213ES0131X | Podiatrist - Foot Surgery | 12-00359 (Kansas) | 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. Dr Christopher Lawrence Pulliam allows following entities to bill medicare on his behalf.
| Provider Name | Integrative Foot And Ankle Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1386910305
PECOS PAC ID: 5496902611
Enrollment ID: O20120823000204 |
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| Provider Name | Pedirite Medical Fl Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1750962023
PECOS PAC ID: 7113336843
Enrollment ID: O20210511000785 |
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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. Dr Christopher Lawrence 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 |
|---|
Dr Christopher Lawrence Pulliam, DPM
3497 Lawton Pl,
Green Cove Springs, FL 32043-8262
Ph: (913) 708-4802 | Dr Christopher Lawrence Pulliam, DPM
3497 Lawton Pl,
Green Cove Springs, FL 32043-8262
Ph: (913) 708-4802 |
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