| Kristen Fulton, MD | |
|
8248 S 96th St, La Vista, NE 68128-3126 | |
| (402) 717-9500 | |
| (402) 717-9501 |
| Full Name | Kristen Fulton |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 8248 S 96th St, La Vista, Nebraska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861542854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 19954 (Nebraska) | Primary |
| Entity Name | Alegent Creighton Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548287907 PECOS PAC ID: 1951210418 Enrollment ID: O20040407001314 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen Fulton, MD Po Box 642117, Omaha, NE 68164-8117 Ph: (402) 398-6254 | Kristen Fulton, MD 8248 S 96th St, La Vista, NE 68128-3126 Ph: (402) 717-9500 |
Jennifer Medlin, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8604 Giles Rd, La Vista, NE 68128 Phone: 402-559-0000 Fax: 402-559-0001 | |
Michael Fulton, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 8248 S 96th St, La Vista, NE 68128 Phone: 402-717-9500 Fax: 402-717-9501 | |
Kristee Zoloty, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8074 S 84th St, La Vista, NE 68128 Phone: 402-593-1700 Fax: 402-593-9905 |