Dr John H Fulmer Jr, DMD in Conway, SC - Medicare Dentist Provider

Dr John H Fulmer Jr, DMD is a medicare enrolled "Dentist - General Practice" provider in Conway, South Carolina. His current practice location is 900a Main St, Conway, South Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 488-3710.

Dr John H Fulmer Jr is licensed to practice in South Carolina (license number SC2408) 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 1528087467.

Contact Information

	Dr John H Fulmer Jr, DMD
	900a Main St, Conway, SC 29526-4063
	(843) 488-3710
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr John H Fulmer Jr
Gender	Male
Speciality	Dentist - General Practice
Location	900a Main St, Conway, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528087467
Provider Enumeration Date: 07/19/2006
Last Update Date: 07/09/2007

Medicare PECOS Information:

PECOS PAC ID: 1052757481
Enrollment ID: I20240307004057

Medical Identifiers

Medical identifiers for Dr John H Fulmer Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528087467	NPI	-	NPPES
ZZ2408	Medicaid	SC
7992952	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	SC2408 (South Carolina)	Primary

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 John H Fulmer Jr allows following entities to bill medicare on his behalf.

Entity Name	Caresouth Carolina Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720082571 PECOS PAC ID: 1052221314 Enrollment ID: O20040511000280

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 John H Fulmer Jr 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 John H Fulmer Jr, DMD 900a Main St, Conway, SC 29526-4063 Ph: (843) 488-3710	Dr John H Fulmer Jr, DMD 900a Main St, Conway, SC 29526-4063 Ph: (843) 488-3710

Reviews and Comments

Dentist in Conway, SC

Shaunna Jolanda Szabo, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1070 Highway 501 Business, Conway, SC 29526 Phone: 843-347-2273
Dr. Brian James Filter, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 8134 Timber Ridge Rd, Conway, SC 29526 Phone: 843-347-9040
Dr. Austin Reece Davis, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1571 Sc - 544, Conway, SC 29526 Phone: 843-347-4190
Dr. Jason Lee Kiggins, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1070 Highway 501 Business, Conway, SC 29526 Phone: 843-347-2273 Fax: 843-347-4920
Dr. Patricia C Lawson, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1515 9th Ave, Conway, SC 29526 Phone: 843-248-3843
Dr. James Earl Lee, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 611 Church St, Conway, SC 29526 Phone: 843-248-4115 Fax: 843-248-6145
Dr. Shawna Collins, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1515 9th Ave, Conway, SC 29526 Phone: 843-248-3843

Dr John H Fulmer Jr, DMD - Medicare Dentist in Conway, SC