Dr Kevin J Fullin, MD FACC - Medicare Cardiovascular Disease (cardiology) in Kenosha, WI

Dr Kevin J Fullin, MD FACC is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Kenosha, Wisconsin. He graduated from medical school in 1980 and has 44 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Froedtert South Inc and 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 accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and 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 NameDr Kevin J Fullin
GenderMale
SpecialityCardiovascular Disease (cardiology)
Experience44 Years
Location6308 8th Ave, Kenosha, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kevin J Fullin graduated from medical school in 1980
  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.
IdentifierTypeStateIssuer
1346224532NPI-NPPES
30742900MedicaidWI
1346224532MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease 27973 (Wisconsin)Primary
207RI0011XInternal Medicine - Interventional Cardiology 27973 (Wisconsin)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
United Hospital SystemKenosha, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Froedtert South Inc9537071196118

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 NameFroedtert South Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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: Medicare Enrolled
Practice Location: 10400 75th St, Kenosha, WI 53142
Phone: 262-942-5600    
Timothy A. Sanborn, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 6308 8th Ave, Kenosha, WI 53143
Phone: 262-653-3650    Fax: 262-656-3672

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.