Melissa Lynn McKernan Pulliam, M.D.

Primary specialty

Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X

License

MD072799L Issued in PA

Practice address

217 Harrisburg Ave
The Heart Group of Lghealth
Lancaster, PA 17603-2964

Phone

(717) 544-8300

Fax

(717) 544-8265

NPI assigned

Mar 2, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Melissa Lynn McKernan Former name

Medicare fee-for-service enrollment

Enrolled in PA, MA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Cardiovascular Disease (Cardiology)

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Berkshire Faculty Services IncGroup PAC ID 8224068424, 276 clinicians

Susquehanna Physician ServicesGroup PAC ID 2264336460, 611 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Upmc Williamsport Hospital, Williamsport, PA, CCN 390045
• Fairview Hospital Hospital, Great Barrington, MA, CCN 221302
• Berkshire Medical Center Hospital, Pittsfield, MA, CCN 220046
• North Adams Regional Hospital Corporation Hospital, North Adams, MA, CCN 221304

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1606/brand/1/csg/101/fhir/r4
• Direct secure messaging: melissa.l.mckernanpulliam@upmcdirect.com
• Direct secure messaging: mmckernanpulliam431537@upmc.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Susquehanna Physician Services

  • Cardiovascular Disease Physician
  • Williamsport, PA
  • NPI 1861431116

  Cardiovascular Disease, PA

  Medicare reassignment Care Compare group NPD
• Berkshire Faculty Services Inc

  • Multi-Specialty Clinic/Center
  • Pittsfield, MA
  • NPI 1548212939

  MA

  Medicare reassignment Care Compare group NPD
• Phoenixville Clinic Company LLC

  • Family Medicine Physician
  • Phoenixville, PA
  • NPI 1891866182

  Cardiovascular Disease, PA

  Medicare reassignment NPD
• Tower Health Medical Group

  • Internal Medicine Physician
  • Birdsboro, PA
  • NPI 1609291350

  PA

  Medicare reassignment NPD
• Phoenixville Clinic Company LLC

  • Neurology Physician
  • Phoenixville, PA
  • NPI 1275173957
  NPD
• Phoenixville Clinic Company LLC

  • Vascular Surgery Physician
  • Limerick, PA
  • NPI 1790746345
  NPD
• Tower Health Medical Group

  • Cardiovascular Disease Physician
  • West Reading, PA
  • NPI 1124487210

  Cardiovascular Disease

  NPD
• Tower Health Medical Group

  • Surgery Physician
  • Wyomissing, PA
  • NPI 1831954353
  NPD
• Fairview Hospital

  • Rural Health Clinic/Center
  • Great Barrington, MA
  • NPI 1881252286
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Upmc Williamsport

  • Land Ambulance
  • Williamsport, PA
  • NPI 1093890360

  Hospital

  Care Compare affiliation
• Upmc Williamsport

  • Ambulatory Surgical Clinic/Center
  • Williamsport, PA
  • NPI 1225500770

  Hospital

  Care Compare affiliation
• Upmc Williamsport

  • Ambulatory Surgical Clinic/Center
  • Williamsport, PA
  • NPI 1285719559

  Hospital

  Care Compare affiliation
• Upmc Williamsport

  • General Acute Care Hospital
  • Williamsport, PA
  • NPI 1609801976

  Hospital

  Care Compare affiliation
• Upmc Williamsport

  • Psychiatric Hospital Unit
  • Williamsport, PA
  • NPI 1649746488

  Hospital

  Care Compare affiliation
• Upmc Williamsport

  • General Acute Care Hospital
  • Williamsport, PA
  • NPI 1740365097

  Hospital

  Care Compare affiliation
• Upmc Williamsport

  • Primary Care Clinic/Center
  • Williamsport, PA
  • NPI 1982788048

  Hospital

  Care Compare affiliation
• Berkshire Medical Center, Inc

  • General Acute Care Hospital
  • Pittsfield, MA
  • NPI 1295765261

  Hospital

  Care Compare affiliation
• Fairview Hospital

  • Critical Access Hospital
  • Great Barrington, MA
  • NPI 1730112251

  Hospital

  Care Compare affiliation
• North Adams Regional Hospital Corporation

  • Critical Access Hospital
  • North Adams, MA
  • NPI 1437839669

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422576000000",
    "number": "1053388694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 HARRISBURG AVE",
            "address_2": "THE HEART GROUP OF LGHEALTH",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176032964",
            "telephone_number": "717-544-8300",
            "fax_number": "717-544-8265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 HARRISBURG AVE",
            "address_2": "THE HEART GROUP OF LGHEALTH",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176032964",
            "telephone_number": "717-544-8300",
            "fax_number": "717-544-8265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKERNAN PULLIAM",
        "first_name": "MELISSA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-02",
        "last_updated": "2015-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD072799L",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "PA",
            "license": "MD072799L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012686220001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "MCKERNAN",
            "middle_name": "LYNN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathryn A. McKenna, M.D.
• Emily McKenzie
• Martin W McKeon, MPT
• Melissa McKeon
• Taylor Erin McKeon, M.S., CCC-SLP
• Kayla McKinney, M. ED. LBS BCBA
• Katielynn McKinnon, LPN
• Brea McLain
• Christopher G McLane, M.D.
• Mary E. McLane, C.N.M.

• Clinical Cardiac Electrophysiology Physician in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Clinical Cardiac Electrophysiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.