Jeremy Scott Fullingim, DO - Medicare Diagnostic Radiology in Tulsa, OK

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Jeremy Scott Fullingim, DO is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Tulsa, Oklahoma. He graduated from medical school in 2003 and has 23 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Creek Nation Hospital And Clinics, Panhandle Radiology Pllc, Diagnostic Imaging Associates Inc, Choctaw Nation Of Oklahoma, Clinton Indian Health Center, Pawnee Indian Health Center, Pine Ridge Indian Health Service Hospital, El Reno Indian Health Center, Zuni Indian Hospital, Creek Nation Hospital And Clinics, Cherokee Nation, Lawton Indian Hospital, Wewoka Indian Health, Anadarko Indian Health Center and his current practice location is 4500 S Garnett Rd, Tulsa, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (918) 599-5031.

Jeremy Scott Fullingim is licensed to practice in Oklahoma (license number 4186) 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 1255537304.

Contact Information

Jeremy Scott Fullingim, DO
4500 S Garnett Rd,
Tulsa, OK 74146-5229
(918) 599-5031
Not Available

Map and Direction




Physician's Profile

Full NameJeremy Scott Fullingim
GenderMale
SpecialityDiagnostic Radiology
Experience23 Years
Location4500 S Garnett Rd, Tulsa, Oklahoma
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:
  • Jeremy Scott Fullingim graduated from medical school in 2003
  NPI Data:
  • NPI Number: 1255537304
  • Provider Enumeration Date: 06/25/2007
  • Last Update Date: 06/13/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 5092867762
  • Enrollment ID: I20090710000584

Medical Identifiers

Medical identifiers for Jeremy Scott Fullingim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255537304NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 4186 (Oklahoma)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Cherokee Nation W W Hastings Indian HospitalTahlequah, OKHospital
Saint Francis Hospital MuskogeeMuskogee, OKHospital
Northeastern Health SystemTahlequah, OKHospital
St Mary's Regional Medical CenterEnid, OKHospital
Oklahoma State University Medical CenterTulsa, OKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Creek Nation Hospital And Clinics5698786226322
Panhandle Radiology Pllc73150336697
Diagnostic Imaging Associates Inc882008364570
Choctaw Nation Of Oklahoma1759294838254
Clinton Indian Health Center216332423744
Pawnee Indian Health Center276947016059
Pine Ridge Indian Health Service Hospital468857132685
El Reno Indian Health Center519362726321
Zuni Indian Hospital569868964441
Creek Nation Hospital And Clinics5698786226322
Cherokee Nation5799698742369
Lawton Indian Hospital6406800234107
Wewoka Indian Health751791141536
Anadarko Indian Health Center771993155933

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. Jeremy Scott Fullingim allows following entities to bill medicare on his behalf.
Entity NameDiagnostic Imaging Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427049956
PECOS PAC ID: 8820083645
Enrollment ID: O20040420000018
Entity NameCreek Nation Hospital & Clinics
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366593923
PECOS PAC ID: 5698786226
Enrollment ID: O20070821000130
Entity NamePanhandle Radiology Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104018571
PECOS PAC ID: 7315033669
Enrollment ID: O20071017000710
Entity NameGenesiscare Landmark Oklahoma Cancer Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952914814
PECOS PAC ID: 2567870538
Enrollment ID: O20210413001692

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. Jeremy Scott Fullingim 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
Jeremy Scott Fullingim, DO
12029 S 14th Ct,
Jenks, OK 74037-4954

Ph: (918) 269-3359		Jeremy Scott Fullingim, DO
4500 S Garnett Rd,
Tulsa, OK 74146-5229

Ph: (918) 599-5031

Reviews and Comments


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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).

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