Gregg S Fulmer, MD is a medicare enrolled "Hospitalist" physician in Bellefontaine, Ohio. He graduated from medical school in 1997 and has 28 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Mary Rutan Hospital and his current practice location is
205 Palmer Ave., Bellefontaine, Ohio. You can reach out to his office (for appointments etc.) via phone at
(937) 592-4015.
Gregg S Fulmer is licensed to practice in Ohio (license number 35081568) 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 1396781944.
Physician's Profile
| Full Name | Gregg S Fulmer |
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| Gender | Male |
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| Speciality | Hospitalist |
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| Experience | 28 Years |
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| Location | 205 Palmer Ave., Bellefontaine, Ohio |
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| Accepts Medicare Assignments | Yes. He 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:
- Gregg S Fulmer graduated from medical school in 1997
NPI Data:
- NPI Number: 1396781944
- Provider Enumeration Date: 06/21/2006
- Last Update Date: 05/18/2022
Medicare PECOS Information:
- PECOS PAC ID: 5395716070
- Enrollment ID: I20040804001949
Medical Identifiers
Medical identifiers for Gregg S Fulmer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396781944 | NPI | - | NPPES |
| 341407259 | Other | | NATIONWIDE |
| 341407259037 | Other | | MEDICAL MUTUAL |
| 87726 | Other | | UHC |
| FU7340041 | Other | | TRICARE |
| 7755544 | Other | | AETNA |
| 000000026809 | Other | | ANTHEM |
| 2369057 | Medicaid | OH | |
| 341407259 | Other | | CIGNA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 35.081568 (Ohio) | Secondary |
| 208M00000X | Hospitalist | 35081568 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Mary Rutan Hospital | 9032013792 | 83 |
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. Gregg S Fulmer allows following entities to bill medicare on his behalf.
| Entity Name | Mary Rutan Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548254931
PECOS PAC ID: 9032013792
Enrollment ID: O20031124000531 |
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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. Gregg S Fulmer 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 |
|---|
Gregg S Fulmer, MD
205 E Palmer Rd,
Bellefontaine, OH 43311-2281
Ph: (937) 593-0245 | Gregg S Fulmer, MD
205 Palmer Ave.,
Bellefontaine, OH 43311-2281
Ph: (937) 592-4015 |
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