Dr Zackary Cusati Fulks, DC is a medicare enrolled "Chiropractor" provider in Lakeside, California. He went to Palmer College Chiropractic - West Sunnyvale and graduated in 2022 and has 4 years of diverse experience with area of expertise as Chiropractic. He is a member of the group practice Khodabakhshian Chiropractic Inc and his current practice location is
10039 Vine St, Lakeside, California. You can reach out to his office (for appointments etc.) via phone at
(833) 867-4642.
Dr Zackary Cusati Fulks is licensed to practice in California (license number DC36546) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1407562531.
Healthcare Provider's Profile
| Full Name | Dr Zackary Cusati Fulks |
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| Gender | Male |
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| Speciality | Chiropractic |
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| Experience | 4 Years |
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| Location | 10039 Vine St, Lakeside, California |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Zackary Cusati Fulks attended and graduated from Palmer College Chiropractic - West Sunnyvale in 2022
NPI Data:
- NPI Number: 1407562531
- Provider Enumeration Date: 01/23/2023
- Last Update Date: 01/23/2023
Medicare PECOS Information:
- PECOS PAC ID: 1850747437
- Enrollment ID: I20231102002324
Medical Identifiers
Medical identifiers for Dr Zackary Cusati Fulks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1407562531 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | DC36546 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Khodabakhshian Chiropractic Inc | 5294824082 | 5 |
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 Zackary Cusati Fulks allows following entities to bill medicare on his behalf.
| Provider Name | Neighborhood Healthcare |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1598703647
PECOS PAC ID: 5294649406
Enrollment ID: O20031112000809 |
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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 Zackary Cusati Fulks 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 |
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Dr Zackary Cusati Fulks, DC
2520 Northside Dr Apt 214,
San Diego, CA 92108-2794
Ph: (925) 451-9375 | Dr Zackary Cusati Fulks, DC
10039 Vine St,
Lakeside, CA 92040-3120
Ph: (833) 867-4642 |
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