Dr Kevin J Fullin, MD FACC in Kenosha, WI - Medicare Internal Medicine

Dr Kevin J Fullin, MD FACC is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Kenosha, Wisconsin. His current practice location is 6308 8th Ave, Suite 3060, Kenosha, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 656-3650.

Dr Kevin J Fullin is licensed to practice in Wisconsin (license number 27973) 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 1346224532.

Contact Information

	Dr Kevin J Fullin, MD FACC
	6308 8th Ave, Suite 3060, Kenosha, WI 53143-5082
	(262) 656-3650
	(262) 656-3671

Map and Direction

Physician's Profile

Full Name	Dr Kevin J Fullin
Gender	Male
Speciality	Internal Medicine - Cardiovascular Disease
Location	6308 8th Ave, Kenosha, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346224532
Provider Enumeration Date: 12/01/2005
Last Update Date: 08/07/2014

Medicare PECOS Information:

PECOS PAC ID: 0042366213
Enrollment ID: I20090914000569

Medical Identifiers

Medical identifiers for Dr Kevin J Fullin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346224532	NPI	-	NPPES
30742900	Medicaid	WI
1346224532	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0000X	Internal Medicine - Cardiovascular Disease	27973 (Wisconsin)	Primary
207RI0011X	Internal Medicine - Interventional Cardiology	27973 (Wisconsin)	Secondary

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 Kevin J Fullin allows following entities to bill medicare on his behalf.

Entity Name	Froedtert South Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558305284 PECOS PAC ID: 9537071196 Enrollment ID: O20031103000493

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 Kevin J Fullin 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 Kevin J Fullin, MD FACC 6308 8th Ave, Suite 3060, Kenosha, WI 53143-5082 Ph: (262) 656-3650	Dr Kevin J Fullin, MD FACC 6308 8th Ave, Suite 3060, Kenosha, WI 53143-5082 Ph: (262) 656-3650

Reviews and Comments

Internal Medicine Doctors in Kenosha, WI

Hanna Mariani, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 6308 8th Ave, Ste 3070, Kenosha, WI 53143 Phone: 262-656-3710 Fax: 262-656-3715
Leilane U Sta Romana, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 6127 Green Bay Rd, #200, Kenosha, WI 53142 Phone: 262-658-3706 Fax: 262-658-1751
Raymond W Knight, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 6308 8th Ave, Ste 2000, Kenosha, WI 53143 Phone: 262-653-5300 Fax: 262-653-5412
Dr. Rodrigo Buencamino Mata Iii, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 6123 Green Bay Rd, Suite 120, Kenosha, WI 53142 Phone: 262-652-2710
Michael H Zeihen, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 6308 8th Ave, Suite 2000, Kenosha, WI 53143 Phone: 262-653-5300 Fax: 262-653-5412
Zebi Fatima, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-942-5600
Timothy A. Sanborn, M.D. Cardiovascular Disease Medicare: May Accept Medicare Assignments Practice Location: 6308 8th Ave, Kenosha, WI 53143 Phone: 262-653-3650 Fax: 262-656-3672

Dr Kevin J Fullin, MD FACC - Medicare Internal Medicine in Kenosha, WI