Katelyn O Fulkerson, FNP in Newburgh, IN - Medicare Nurse Practitioner

Katelyn O Fulkerson, FNP is a medicare enrolled "Nurse Practitioner" in Newburgh, Indiana. Her current practice location is 4209 Gateway Blvd, Newburgh, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 853-5300.

Katelyn O Fulkerson is licensed to practice in Indiana (license number 71010802A) 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 1497342075.

Contact Information

	Katelyn O Fulkerson, FNP
	4209 Gateway Blvd, Newburgh, IN 47630-8900
	(812) 853-5300
	(812) 858-4660

Map and Direction

Provider's Profile

Full Name	Katelyn O Fulkerson
Gender	Female
Speciality	Nurse Practitioner
Location	4209 Gateway Blvd, Newburgh, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497342075
Provider Enumeration Date: 12/29/2020
Last Update Date: 10/21/2022

Medicare PECOS Information:

PECOS PAC ID: 3678987872
Enrollment ID: I20210304001644

Medical Identifiers

Medical identifiers for Katelyn O Fulkerson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497342075	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	28229841A (Indiana)	Secondary
208000000X	Pediatrics	71010802A (Indiana)	Secondary
363L00000X	Nurse Practitioner	71010802A (Indiana)	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. Katelyn O Fulkerson allows following entities to bill medicare on her behalf.

Entity Name	Deaconess Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619123585 PECOS PAC ID: 3375610116 Enrollment ID: O20080922000145

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. Katelyn O Fulkerson 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
Katelyn O Fulkerson, FNP Po Box 1510, Evansville, IN 47706-1510 Ph: (812) 450-6815	Katelyn O Fulkerson, FNP 4209 Gateway Blvd, Newburgh, IN 47630-8900 Ph: (812) 853-5300

Reviews and Comments

Nurse Practitioner Nurses in Newburgh, IN

Allison Jo Martin, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4055 Gateway Blvd, Newburgh, IN 47630 Phone: 812-858-3051 Fax: 812-858-3060
Emily Christine York, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4055 Gateway Blvd, Newburgh, IN 47630 Phone: 812-858-3051 Fax: 812-858-3060
Margie Huff, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4209 Gateway Blvd, Newburgh, IN 47630 Phone: 812-842-2800 Fax: 812-842-2901
Kelli Shea Dempsey, ACNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4055 Gateway Blvd, Newburgh, IN 47630 Phone: 812-842-2210 Fax: 812-842-4599
Amy Carol Wall, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4199 Gateway Blvd Ste 2300, Newburgh, IN 47630 Phone: 812-858-4610 Fax: 812-858-4635
Jessica Solomon Ranes, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4199 Gateway Blvd Ste 3100, Newburgh, IN 47630 Phone: 812-842-4550 Fax: 812-842-4549
Sydney Moats Schweikhard, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4209 Gateway Blvd, Newburgh, IN 47630 Phone: 812-842-2800 Fax: 812-842-2901

Katelyn O Fulkerson, FNP - Medicare Nurse Practitioner in Newburgh, IN