Dr Jeryl Glynn Fullen, MD - Medicare Orthopaedic Surgery in Logansport, IN

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Dr Jeryl Glynn Fullen, MD is a medicare enrolled "Orthopaedic Surgery" physician in Logansport, Indiana. His current practice location is 1101 Michigan Ave, Logansport, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 753-1729.

Dr Jeryl Glynn Fullen is licensed to practice in Indiana (license number 01063517A) 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 1275631020.

Contact Information

Dr Jeryl Glynn Fullen, MD
1101 Michigan Ave,
Logansport, IN 46947-1528
(574) 753-1729
Not Available

Map and Direction




Physician's Profile

Full NameDr Jeryl Glynn Fullen
GenderMale
SpecialityOrthopaedic Surgery
Location1101 Michigan Ave, Logansport, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1275631020
  • Provider Enumeration Date: 09/20/2006
  • Last Update Date: 01/16/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 6507803400
  • Enrollment ID: I20050412001260

Medical Identifiers

Medical identifiers for Dr Jeryl Glynn Fullen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275631020NPI-NPPES
200993900MedicaidIN
000000696600OtherINANTHEM
5N934OtherARMEDICARE PTAN
100118960AMedicaidKS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 04-16478 (Kansas)Secondary
207X00000XOrthopaedic Surgery 01063517A (Indiana)Primary

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 Jeryl Glynn Fullen 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
Dr Jeryl Glynn Fullen, MD
1101 Michigan Ave,
Logansport, IN 46947-1528

Ph: (574) 753-1729		Dr Jeryl Glynn Fullen, MD
1101 Michigan Ave,
Logansport, IN 46947-1528

Ph: (574) 753-1729

Reviews and Comments


Orthopaedic Surgery Doctors in Logansport, IN

Kral Varhan, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1101 Michigan Ave, Logansport, IN 46947
Phone: 574-722-2663    
Dr. Ganeshan Ramachandran, DO
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1101 Michigan Ave, Logansport, IN 46947
Phone: 574-722-2663    Fax: 574-753-1729
Dr. James R Davis, DO
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1101 Michigan Ave, Logansport, IN 46947
Phone: 574-722-2663    

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.