Kenneth Guy Fulp, DO is a medicare enrolled "Anesthesiology" physician in Jenks, Oklahoma. He went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 1997 and has 29 years of diverse experience with area of expertise as Anesthesiology. His current practice location is
10525 S Koa St, Jenks, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(918) 855-1642.
Kenneth Guy Fulp is licensed to practice in Oklahoma (license number 5873) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1083668800.
Physician's Profile
| Full Name | Kenneth Guy Fulp |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Experience | 29 Years |
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| Location | 10525 S Koa St, Jenks, Oklahoma |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kenneth Guy Fulp attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 1997
NPI Data:
- NPI Number: 1083668800
- Provider Enumeration Date: 05/19/2006
- Last Update Date: 08/12/2026
Medicare PECOS Information:
- PECOS PAC ID: 7719977594
- Enrollment ID: I20160613001166
Medical Identifiers
Medical identifiers for Kenneth Guy Fulp such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1083668800 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207L00000X | Anesthesiology | 5873 (Oklahoma) | 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. Kenneth Guy Fulp allows following entities to bill medicare on his behalf.
| Entity Name | American Current Care PA |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871770784 PECOS PAC ID: 9739260019 Enrollment ID: O20111108000162 |
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| Entity Name | Western Oklahoma Anesthesia Consultants PLLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881102614 PECOS PAC ID: 4587924865 Enrollment ID: O20180206000663 |
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| Entity Name | Emergenchealth PLLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20190618003098 |
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| Entity Name | Access Solutions Rheumatology, LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770390015 PECOS PAC ID: 4385164110 Enrollment ID: O20250225000508 |
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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. Kenneth Guy Fulp 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 |
Kenneth Guy Fulp, DO 10525 S Koa St, Jenks, OK 74037-2382 Ph: (918) 855-1642 | Kenneth Guy Fulp, DO 10525 S Koa St, Jenks, OK 74037-2382 Ph: (918) 855-1642 |
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