| Ellie Fulgham, | |
|
2607 Main St, Benton, KY 42025-7601 | |
| (731) 394-1145 | |
| Not Available |
| Full Name | Ellie Fulgham |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 2607 Main St, Benton, Kentucky |
| 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 |
|---|---|---|---|
| 1891474896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4001423 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Marshall County Hospital | Benton, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pineville Community Health Center Inc | 5698009157 | 26 |
| Ultra Health Llc | 6800186602 | 113 |
| 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 |
| 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 |
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: Accepting Medicare Assignments Practice Location: 543 Powell Ln, Benton, KY 42025 Phone: 270-415-7070 Fax: 270-415-7071 | |
Mrs. Kimberly E Bradley, APRN Nurse Practitioner Medicare: May Accept 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: Accepting Medicare Assignments 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: Accepting Medicare Assignments Practice Location: 401 Main St, Benton, KY 42025 Phone: 270-906-0369 Fax: 270-906-0371 | |
Kasey A Murphy, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 83 Wellness Way Ste 101&201, Benton, KY 42025 Phone: 270-527-0045 |