| Nona P Fulk, MD | |
|
800 E Locust St, Olney, IL 62450-2553 | |
| (618) 392-9520 | |
| (618) 395-5117 |
| Full Name | Nona P Fulk |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 30 Years |
| Location | 800 E Locust St, Olney, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619974227 | NPI | - | NPPES |
| 036096101 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 036096101 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Richland Memorial Hospital Inc | 3870565732 | 87 |
| Entity Name | Richland Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467492124 PECOS PAC ID: 3870565732 Enrollment ID: O20040811000131 |
| Entity Name | Nona Fulk, M.d., S.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063745883 PECOS PAC ID: 1951440015 Enrollment ID: O20091217000256 |
| Entity Name | Carle West Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147 |
| Entity Name | Richland Memorial Hospital Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1467492124 PECOS PAC ID: 3870565732 Enrollment ID: O20231206000465 |
| Mailing Address | Practice Location Address |
|---|---|
| Nona P Fulk, MD 1300 Franklin Ave Ste 330, Normal, IL 61761-4204 Ph: (309) 808-0940 | Nona P Fulk, MD 800 E Locust St, Olney, IL 62450-2553 Ph: (618) 392-9520 |
Dr. William R Padgett Jr., MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1200 N East St, Olney, IL 62450 Phone: 618-395-5222 Fax: 618-395-8552 | |
Dr. Rise Carol Hatten, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1120 N East St, Olney, IL 62450 Phone: 618-395-5222 Fax: 618-395-8552 | |
Mark Thomas Behnam, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 800 E Locust St, Olney, IL 62450 Phone: 618-392-1131 Fax: 618-395-5117 |