Daphne D Fullerton, MD is a medicare enrolled "Emergency Medicine" physician in Ennis, Texas. She went to Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University and graduated in 2000 and has 26 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Integrative Emergency Services Physician Group-houston Pllc and her current practice location is
803 W Lampasas St, Ennis, Texas. You can reach out to her office (for appointments etc.) via phone at
(800) 893-9698.
Daphne D Fullerton is licensed to practice in Texas (license number L8244) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1609908490.
Physician's Profile
| Full Name | Daphne D Fullerton |
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| Gender | Female |
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| Speciality | Emergency Medicine |
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| Experience | 26 Years |
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| Location | 803 W Lampasas St, Ennis, Texas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Daphne D Fullerton attended and graduated from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 2000
NPI Data:
- NPI Number: 1609908490
- Provider Enumeration Date: 03/09/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 1850352725
- Enrollment ID: I20041023000252
Medical Identifiers
Medical identifiers for Daphne D Fullerton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1609908490 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | L8244 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Integrative Emergency Services Physician Group-houston Pllc | 7113258500 | 193 |
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. Daphne D Fullerton allows following entities to bill medicare on her behalf.
| Entity Name | Century Integrated Partners, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447615711
PECOS PAC ID: 6406151703
Enrollment ID: O20160224002152 |
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| Entity Name | Integrative Emergency Services Physician Group-houston Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801458708
PECOS PAC ID: 7113258500
Enrollment ID: O20191016002208 |
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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. Daphne D Fullerton 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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Daphne D Fullerton, MD
200 Corporate Blvd, Suite 201,
Lafayette, LA 70508-3870
Ph: () - | Daphne D Fullerton, MD
803 W Lampasas St,
Ennis, TX 75119-4535
Ph: (800) 893-9698 |
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