Lourdes Sofia Fulcomer, FNP in Alexandria Bay, NY

Lourdes Sofia Fulcomer, FNP is a medicare enrolled "Nurse Practitioner" in Alexandria Bay, New York. Her current practice location is 4 Fuller St, Alexandria Bay, New York. You can reach out to her office (for appointments etc.) via phone at (315) 482-1125.

Lourdes Sofia Fulcomer is licensed to practice in New York (license number 351959) 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 1770268757.

Contact Information

	Lourdes Sofia Fulcomer, FNP
	4 Fuller St, Alexandria Bay, NY 13607-1391
	(315) 482-1125
	Not Available

Map and Direction

Provider's Profile

Full Name	Lourdes Sofia Fulcomer
Gender	Female
Speciality	Nurse Practitioner
Location	4 Fuller St, Alexandria Bay, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770268757
Provider Enumeration Date: 06/19/2023
Last Update Date: 06/19/2023

Medicare PECOS Information:

PECOS PAC ID: 4880124411
Enrollment ID: I20250211003018

Medical Identifiers

Medical identifiers for Lourdes Sofia Fulcomer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770268757	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	803858 (New York)	Secondary
363L00000X	Nurse Practitioner	351959 (New York)	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. Lourdes Sofia Fulcomer allows following entities to bill medicare on her behalf.

Entity Name	River Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003814641 PECOS PAC ID: 2567372899 Enrollment ID: O20040614001352

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. Lourdes Sofia Fulcomer 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
Lourdes Sofia Fulcomer, FNP 4 Fuller St, Alexandria Bay, NY 13607-1391 Ph: (315) 482-2511	Lourdes Sofia Fulcomer, FNP 4 Fuller St, Alexandria Bay, NY 13607-1391 Ph: (315) 482-1125

Reviews and Comments

Nurse Practitioner Nurses in Alexandria Bay, NY

Lynnette Nate' Lessley, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4 Fuller Street Alexandria Bay, Ny, Alexandria Bay, NY 13607 Phone: 315-486-0510
Cynthia Lee Simpson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4 Fuller St, Alexandria Bay, NY 13607 Phone: 315-482-2511 Fax: 315-482-4981
Jeniffer Dawn Alberry, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4 Fuller Street, Alexandria Bay, NY 13607 Phone: 315-482-2094 Fax: 315-482-3727
Mrs. Deborah M. Macsherry, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4 Fuller Street, Alexandria Bay, NY 13607 Phone: 315-482-1230 Fax: 315-482-4981
Jillian Rose Allen, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4 Fuller St, Alexandria Bay, NY 13607 Phone: 315-482-1277
Joshua Becker, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4 Fuller St, Alexandria Bay, NY 13607 Phone: 315-482-1277 Fax: 315-482-4911
Patricia Desjarlais, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4 Fuller St, Alexandria Bay, NY 13607 Phone: 315-482-1230 Fax: 315-482-5553

Lourdes Sofia Fulcomer, FNP - Medicare Nurse Practitioner in Alexandria Bay, NY