Dr Kevin L Fulford, MD in La Mesa, CA - Medicare Obstetrics & Gynecology

Dr Kevin L Fulford, MD is a medicare enrolled "Obstetrics & Gynecology" physician in La Mesa, California. His current practice location is 5555 Grossmont Center Dr, La Mesa, California. You can reach out to his office (for appointments etc.) via phone at (619) 704-4966.

Dr Kevin L Fulford is licensed to practice in California (license number A66474) 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 1063594612.

Contact Information

	Dr Kevin L Fulford, MD
	5555 Grossmont Center Dr, La Mesa, CA 91942-3019
	(619) 704-4966
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Kevin L Fulford
Gender	Male
Speciality	Obstetrics & Gynecology
Location	5555 Grossmont Center Dr, La Mesa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063594612
Provider Enumeration Date: 10/20/2006
Last Update Date: 01/03/2020

Medicare PECOS Information:

PECOS PAC ID: 1355421173
Enrollment ID: I20121017000824

Medical Identifiers

Medical identifiers for Dr Kevin L Fulford such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063594612	NPI	-	NPPES
3861990	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	A66474 (California)	Primary

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 L Fulford allows following entities to bill medicare on his behalf.

Entity Name	Obhg California Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215258892 PECOS PAC ID: 8729276795 Enrollment ID: O20101217000826

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 L Fulford 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 L Fulford, MD 250 Murray Dr, El Cajon, CA 92020-4113 Ph: (423) 552-6924	Dr Kevin L Fulford, MD 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 Ph: (619) 704-4966

Reviews and Comments

Obstetrics & Gynecology Doctors in La Mesa, CA

Ms. Rebeca Sandoval, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5360 Jackson Drive, Suite 100, La Mesa, CA 91942 Phone: 619-464-1374 Fax: 619-464-1058
Andrew Jay Gellens, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 8851 Center Dr 210, La Mesa, CA 91942 Phone: 619-463-7775 Fax: 619-463-4181
Dr. Tracie Lyn Davis, M.D., FACOG Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 8851 Center Dr Ste 210, La Mesa, CA 91942 Phone: 619-463-7775 Fax: 619-463-4181
Mark Zyman, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5525 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-644-6908 Fax: 619-644-6960
Dr. Camela Ann Mcgrath, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 5525 Grossmont Center Dr, La Mesa, CA 91942 Phone: 858-499-2702
Mary Li Ma, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-740-6000

Dr Kevin L Fulford, MD - Medicare Obstetrics & Gynecology in La Mesa, CA