Ericca Lynnmarie Fulmer, NP is a medicare enrolled "Nurse Practitioner - Family" in Rayland, Ohio. Her current practice location is
10686 State Route 150, Rayland, Ohio. You can reach out to her office (for appointments etc.) via phone at
(740) 859-5650.
Ericca Lynnmarie Fulmer is licensed to practice in Ohio (license number APRN.CNP.0027278) 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 1699305714.
Provider's Profile
| Full Name | Ericca Lynnmarie Fulmer |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 10686 State Route 150, Rayland, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1699305714
- Provider Enumeration Date: 01/16/2020
- Last Update Date: 06/04/2026
Medicare PECOS Information:
- PECOS PAC ID: 7012348469
- Enrollment ID: I20200519001066
Medical Identifiers
Medical identifiers for Ericca Lynnmarie Fulmer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1699305714 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | APRN105092 (West Virginia) | Secondary |
| 363L00000X | Nurse Practitioner | APRN.CNP.0027278 (Ohio) | Secondary |
| 363L00000X | Nurse Practitioner | APRN105092 (West Virginia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.0027278 (Ohio) | 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. Ericca Lynnmarie Fulmer allows following entities to bill medicare on her behalf.
| Entity Name | Greenbrier Emergency Services, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568401461
PECOS PAC ID: 2668377359
Enrollment ID: O20031205000043 |
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| Entity Name | Wmc Physician Practices Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518303288
PECOS PAC ID: 0244466753
Enrollment ID: O20131111001065 |
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| Entity Name | Wellbe Medical Group Of West Virginia Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184331514
PECOS PAC ID: 5193194751
Enrollment ID: O20221205000597 |
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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. Ericca Lynnmarie Fulmer 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 |
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Ericca Lynnmarie Fulmer, NP
10686 State Route 150,
Rayland, OH 43943-7847
Ph: (740) 859-5650 | Ericca Lynnmarie Fulmer, NP
10686 State Route 150,
Rayland, OH 43943-7847
Ph: (740) 859-5650 |
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