Bryan Fulkersin, FNP-C - Medicare Nurse Practitioner in Wallace, NC

Bryan Fulkersin, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Wallace, North Carolina. His current practice location is 110 Eastwood Dr, Wallace, North Carolina. You can reach out to his office (for appointments etc.) via phone at (910) 285-2330.

Bryan Fulkersin is licensed to practice in North Carolina (license number F0516286) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1376990457.

Contact Information

Bryan Fulkersin, FNP-C
110 Eastwood Dr,
Wallace, NC 28466-9201
(910) 285-2330
(910) 267-8995

Map and Direction




Provider's Profile

Full NameBryan Fulkersin
GenderMale
SpecialityNurse Practitioner - Family
Location110 Eastwood Dr, Wallace, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1376990457
  • Provider Enumeration Date: 05/19/2016
  • Last Update Date: 09/20/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 6406136381
  • Enrollment ID: I20161212001021

Medical Identifiers

Medical identifiers for Bryan Fulkersin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376990457NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family F0516286 (North Carolina)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. Bryan Fulkersin allows following entities to bill medicare on his behalf.
Entity NameGoshen Medical Center Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023424686
PECOS PAC ID: 3173434479
Enrollment ID: O20040102000726

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. Bryan Fulkersin 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
Bryan Fulkersin, FNP-C
110 Eastwood Dr,
Wallace, NC 28466-9201

Ph: (910) 285-2330
Bryan Fulkersin, FNP-C
110 Eastwood Dr,
Wallace, NC 28466-9201

Ph: (910) 285-2330

Reviews and Comments

Nurse Practitioner Nurses in Wallace, NC

Claudia Compton Smith, N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 110 Eastwood Drive, Wallace, NC 28466
Phone: 910-285-2330    Fax: 910-285-3060
Kayla Sholar Walker, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 110 Eastwood Dr, Wallace, NC 28466
Phone: 910-285-2330    
Mary Anna Johnson, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 207 E Murphy St, Wallace, NC 28466
Phone: 910-285-4100    Fax: 910-285-4766

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.