| Gregg S Fulmer, MD | |
|
205 Palmer Ave., Bellefontaine, OH 43311-2281 | |
| (937) 592-4015 | |
| Not Available |
| Full Name | Gregg S Fulmer |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 29 Years |
| Location | 205 Palmer Ave., Bellefontaine, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| 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 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35.081568 (Ohio) | Secondary |
| 208M00000X | Hospitalist | 35081568 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Heartland Home Health Care & Hospice | Kettering, OH | Hospice |
| Mary Rutan Hospital | Bellefontaine, OH | Hospital |
| Ohio State University State Health System | Columbus, OH | Hospital |
| Riverside Methodist Hospital | Columbus, OH | Hospital |
| Lima Memorial Health System | Lima, OH | Hospital |
| Logan Acres | Bellefontaine, OH | Nursing home |
| Bellefontaine Healthcare | Bellefontaine, OH | Nursing home |
| Indian Lake Rehabilitation Center | Lakeview, OH | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mary Rutan Hospital | 9032013792 | 92 |
| Entity Name | Mary Rutan Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548254931 PECOS PAC ID: 9032013792 Enrollment ID: O20031124000531 |
| 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 |