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 21 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Creek Nation Hospital And Clinics, Comanche County Hospital Authority Southwest Radiology, Diagnostic Imaging Associates Inc, Choctaw Nation Of Oklahoma, 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, Albuquerque Indian Health Center, Anadarko Indian Health Center, Claremore Indian Hospital 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
Experience21 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
Saint Francis Hospital MuskogeeMuskogee, OKHospital
St Mary's Regional Medical CenterEnid, OKHospital
Alliancehealth MidwestMidwest city, OKHospital
Cherokee Nation W W Hastings Indian HospitalTahlequah, OKHospital
Northeastern Health SystemTahlequah, OKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Creek Nation Hospital And Clinics5698786226265
Comanche County Hospital Authority Southwest Radiology711308200950
Diagnostic Imaging Associates Inc882008364564
Choctaw Nation Of Oklahoma1759294838204
Pawnee Indian Health Center276947016059
Pine Ridge Indian Health Service Hospital468857132693
El Reno Indian Health Center519362726326
Zuni Indian Hospital569868964457
Creek Nation Hospital And Clinics5698786226265
Cherokee Nation5799698742329
Lawton Indian Hospital640680023494
Wewoka Indian Health751791141534
Albuquerque Indian Health Center771988316446
Anadarko Indian Health Center771993155939
Claremore Indian Hospital9436069911109

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 NameCtca Physicans Group Of Oklahoma, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053309591
PECOS PAC ID: 2163328774
Enrollment ID: O20031212000074
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 NameComanche County Hospital Authority Southwest Radiology
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194996447
PECOS PAC ID: 7113082009
Enrollment ID: O20090209000657
Entity NameLandmark Cancer Center Gp Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598102345
PECOS PAC ID: 1658506662
Enrollment ID: O20131029001312
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 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.

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