Haley Renee Fulkerson, RD - Medicare Dietitian in Leitchfield, KY

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Haley Renee Fulkerson, RD is a medicare enrolled "Dietitian, Registered" provider in Leitchfield, Kentucky. Her current practice location is 912 Wallace Ave Ste 102, Leitchfield, Kentucky. You can reach out to her office (for appointments etc.) via phone at (270) 259-8888.

Haley Renee Fulkerson is licensed to practice in Kentucky (license number 123904) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1821281163.

Contact Information

Haley Renee Fulkerson, RD
912 Wallace Ave Ste 102,
Leitchfield, KY 42754-2405
(270) 259-8888
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameHaley Renee Fulkerson
GenderFemale
SpecialityDietitian, Registered
Location912 Wallace Ave Ste 102, Leitchfield, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1821281163
  • Provider Enumeration Date: 08/21/2007
  • Last Update Date: 12/11/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5698861367
  • Enrollment ID: I20071011000456

Medical Identifiers

Medical identifiers for Haley Renee Fulkerson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821281163NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 123904 (Kentucky)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. Haley Renee Fulkerson allows following entities to bill medicare on her behalf.
Provider NameOwensboro Health Medical Group Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1235518242
PECOS PAC ID: 0648255034
Enrollment ID: O20040621000818
Provider NameNorton Childrens Medical Group Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1457999096
PECOS PAC ID: 3779917596
Enrollment ID: O20200102000758

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. Haley Renee Fulkerson 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 AddressPractice Location Address
Haley Renee Fulkerson, RD
Po Box 776879,
Chicago, IL 60677-6879

Ph: (502) 559-9407		Haley Renee Fulkerson, RD
912 Wallace Ave Ste 102,
Leitchfield, KY 42754-2405

Ph: (270) 259-8888

Reviews and Comments


Dietitian, Registered in Leitchfield, KY

Owensboro Health Medical Group, Inc
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 912 Wallace Ave Ste 102, Leitchfield, KY 42754
Phone: 270-259-8888    
Kaitlin Harrison, RD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 910 Wallace Ave, Leitchfield, KY 42754
Phone: 270-259-9400    Fax: 270-259-9536
Ann Elizabeth Simmons, RDN
Dietitian
Medicare: Medicare Enrolled
Practice Location: 912 Wallace Ave Ste 102, Leitchfield, KY 42754
Phone: 270-259-8888    Fax: 270-259-8887
Cheri Molloy, RD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 910 Wallace Ave, Leitchfield, KY 42754
Phone: 270-259-9505    
Kristy M Bratcher, RD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 910 Wallace Ave, Leitchfield, KY 42754
Phone: 270-259-6400    
Kathryn Paige Dubree, RD
Dietitian
Medicare: Medicare Enrolled
Practice Location: 910 Wallace Ave, Leitchfield, KY 42754
Phone: 270-259-9400    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.