Brian Fulmer, | |
3460 S 4155 W, West Valley City, UT 84120 | |
(801) 965-3559 | |
Not Available |
Full Name | Brian Fulmer |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 8 Years |
Location | 3460 S 4155 W, West Valley City, Utah |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033572573 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | MD198305 (Oregon) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 10483203-1205 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Charles Medical Center - Bend | Bend, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Deschutes County Oregon | 9638083371 | 36 |
Entity Name | Deschutes County Oregon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235172180 PECOS PAC ID: 9638083371 Enrollment ID: O20031117000568 |
Mailing Address | Practice Location Address |
---|---|
Brian Fulmer, 1435 E 1300 S, Salt Lake City, UT 84105-1944 Ph: (904) 652-3553 | Brian Fulmer, 3460 S 4155 W, West Valley City, UT 84120 Ph: (801) 965-3559 |
Susan M Zimmerman, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3725 W 4100 South, West Valley City, UT 84120 Phone: 801-965-3600 Fax: 801-965-3526 | |
Dr. Komal Rastogi, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2965 W 3500 S, West Valley City, UT 84119 Phone: 801-965-3600 | |
Mr. Glen Eric Johnson, MD Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 3940 West 4100 South, West Valley City, UT 84120 Phone: 801-966-3700 Fax: 801-966-9421 | |
Dr. Brent P Goodman, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3535 S Market St, West Valley City, UT 84119 Phone: 385-430-1430 |