Lydia Suzanne Fulton, PA-C is a
Physician Assistant based in Oak Point, Texas. Lydia Suzanne Fulton is licensed to practice in Texas (license number PA09733) and her current practice location is
508 Highmoor Ct, Oak Point, Texas. She can be reached at her office (for appointments etc.) via phone at
(618) 335-0992.
NPI number for Lydia Suzanne Fulton is 1407180763 and her current mailing address is 508 Highmoor Ct, Oak Point, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407180763.
Provider's Profile
| Full Name | Lydia Suzanne Fulton |
|---|
| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 508 Highmoor Ct, Oak Point, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1407180763
- Provider Enumeration Date: 09/18/2009
- Last Update Date: 04/17/2015
Medical Identifiers
Medical identifiers for Lydia Suzanne Fulton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407180763 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 22766 (California) | Secondary |
| 363A00000X | Physician Assistant | PA09733 (Texas) | Primary |
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. Lydia Suzanne Fulton is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Lydia Suzanne Fulton, PA-C
508 Highmoor Ct,
Oak Point, TX 75068-6136
Ph: (618) 335-0992 | Lydia Suzanne Fulton, PA-C
508 Highmoor Ct,
Oak Point, TX 75068-6136
Ph: (618) 335-0992 |
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