Ellie Fulgham, in Benton, KY - Medicare Nurse Practitioner

Ellie Fulgham, is a medicare enrolled "Nurse Practitioner - Family" in Benton, Kentucky. Her current practice location is 2607 Main St, Benton, Kentucky. You can reach out to her office (for appointments etc.) via phone at (731) 394-1145.

Ellie Fulgham is licensed to practice in Kentucky (license number 4001423) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1891474896.

Contact Information

	Ellie Fulgham,
	2607 Main St, Benton, KY 42025-7601
	(731) 394-1145
	Not Available

Map and Direction

Provider's Profile

Full Name	Ellie Fulgham
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2607 Main St, Benton, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891474896
Provider Enumeration Date: 07/17/2023
Last Update Date: 09/01/2023

Medicare PECOS Information:

PECOS PAC ID: 3779946421
Enrollment ID: I20230828003062

Medical Identifiers

Medical identifiers for Ellie Fulgham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891474896	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4001423 (Kentucky)	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. Ellie Fulgham allows following entities to bill medicare on her behalf.

Entity Name	Ultra Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922469543 PECOS PAC ID: 6800186602 Enrollment ID: O20181109001113

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. Ellie Fulgham 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
Ellie Fulgham, 4229 Us Highway 68 W, Benton, KY 42025-6636 Ph: (270) 205-5885	Ellie Fulgham, 2607 Main St, Benton, KY 42025-7601 Ph: (731) 394-1145

Reviews and Comments

Nurse Practitioner Nurses in Benton, KY

Karen Dawn Lee, MSN, ARNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 W 8th St, Benton, KY 42025 Phone: 270-252-1311 Fax: 270-252-1311
Jonathan Bailey, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 543 Powell Ln, Benton, KY 42025 Phone: 270-415-7070 Fax: 270-415-7071
Mrs. Kimberly E Bradley, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 83 Wellness Way Ste 101&201, Benton, KY 42025 Phone: 270-527-0045 Fax: 270-527-9615
Mrs. Kayla Renee Henson, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 83 Wellness Way, Benton, KY 42025 Phone: 270-527-8601 Fax: 270-527-9645
Jessica Lovett, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 83 Wellness Way, Benton, KY 42025 Phone: 270-527-8601 Fax: 270-527-9615
Samantha Ann Scholl, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 401 Main St, Benton, KY 42025 Phone: 270-906-0369 Fax: 270-906-0371
Kasey A Murphy, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 83 Wellness Way Ste 101&201, Benton, KY 42025 Phone: 270-527-0045

Ellie Fulgham, - Medicare Nurse Practitioner in Benton, KY