Nathaniel J Fullerton, MD in Fort Atkinson, WI

Nathaniel J Fullerton, MD is a medicare enrolled "Internal Medicine" physician in Fort Atkinson, Wisconsin. He went to University Of Wisconsin School Of Medicine and graduated in 1995 and has 30 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Agnesian Healthcare Inc, Informe Healthcare Il Llc and his current practice location is 611 E Sherman Ave, Fort Atkinson, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 568-5411.

Nathaniel J Fullerton is licensed to practice in Wisconsin (license number 38510-20) 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 1366417461.

Contact Information

	Nathaniel J Fullerton, MD
	611 E Sherman Ave, Fort Atkinson, WI 53538-1960
	(920) 568-5411
	(920) 568-4004

Map and Direction

Physician's Profile

Full Name	Nathaniel J Fullerton
Gender	Male
Speciality	Internal Medicine
Experience	30 Years
Location	611 E Sherman Ave, Fort Atkinson, Wisconsin
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nathaniel J Fullerton attended and graduated from University Of Wisconsin School Of Medicine in 1995

NPI Data:

NPI Number: 1366417461
Provider Enumeration Date: 02/22/2006
Last Update Date: 04/11/2018

Medicare PECOS Information:

PECOS PAC ID: 8729054226
Enrollment ID: I20040907000694

Medical Identifiers

Medical identifiers for Nathaniel J Fullerton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366417461	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	38510-20 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Waupun Memorial Hospital	Waupun, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Agnesian Healthcare Inc	1658289624	360
Informe Healthcare Il Llc	8123448784	13

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. Nathaniel J Fullerton allows following entities to bill medicare on his behalf.

Entity Name	Agnesian Healthcare Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346228541 PECOS PAC ID: 1658289624 Enrollment ID: O20031104000263

Entity Name	Fort Healthcare Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417993361 PECOS PAC ID: 0840189718 Enrollment ID: O20040319001411

Entity Name	Informe Healthcare Il Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639790678 PECOS PAC ID: 8123448784 Enrollment ID: O20231031001630

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. Nathaniel J Fullerton 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
Nathaniel J Fullerton, MD Po Box 249, Fort Atkinson, WI 53538-0249 Ph: (920) 568-5411	Nathaniel J Fullerton, MD 611 E Sherman Ave, Fort Atkinson, WI 53538-1960 Ph: (920) 568-5411

Reviews and Comments

Internal Medicine Doctors in Fort Atkinson, WI

Jennifer Ann Winter, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1520 Madison Ave, Fort Atkinson, WI 53538 Phone: 920-563-5500
Dr. Ailleen R. Alquinto Anonuevo, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 611 Sherman Ave E, Fort Atkinson, WI 53538 Phone: 920-568-5000
Dane Schultz, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Mcmillen St, Fort Atkinson, WI 53538 Phone: 920-563-5571
Mrs. Laura Koenig, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 500 Mcmillen St, Fort Atkinson, WI 53538 Phone: 920-563-5571 Fax: 920-563-7705
Dr. Jennifer L Klenske, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 611 E Sherman Ave, Fort Atkinson, WI 53538 Phone: 920-568-5000 Fax: 920-568-4004
Dr. Thomas Tackman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Mcmillen St, Fort Atkinson, WI 53538 Phone: 920-563-5571 Fax: 920-563-7705

Nathaniel J Fullerton, MD - Medicare Internal Medicine in Fort Atkinson, WI