Mr Brandon Fultz, PA-C in Greenwood, IN - Medicare Physician Assistant

Mr Brandon Fultz, PA-C is a medicare enrolled "Physician Assistant" in Greenwood, Indiana. His current practice location is 747 E County Line Rd Ste H, Greenwood, Indiana. You can reach out to his office (for appointments etc.) via phone at (317) 528-8009.

Mr Brandon Fultz is licensed to practice in Indiana (license number 10001066A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1902031131.

Contact Information

	Mr Brandon Fultz, PA-C
	747 E County Line Rd Ste H, Greenwood, IN 46143-1082
	(317) 528-8009
	(317) 528-8012

Map and Direction

Provider's Profile

Full Name	Mr Brandon Fultz
Gender	Male
Speciality	Physician Assistant
Location	747 E County Line Rd Ste H, Greenwood, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902031131
Provider Enumeration Date: 05/18/2009
Last Update Date: 07/20/2023

Medicare PECOS Information:

PECOS PAC ID: 4688060122
Enrollment ID: I20220408001031

Medical Identifiers

Medical identifiers for Mr Brandon Fultz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902031131	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	10001066A (Indiana)	Secondary
363A00000X	Physician Assistant	10001066A (Indiana)	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. Mr Brandon Fultz 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
Mr Brandon Fultz, PA-C Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800	Mr Brandon Fultz, PA-C 747 E County Line Rd Ste H, Greenwood, IN 46143-1082 Ph: (317) 528-8009

Reviews and Comments

Physician Assistant Nurses in Greenwood, IN

Erin Michelle Montgomery, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1001 N Madison Ave, Greenwood, IN 46142 Phone: 317-528-7500 Fax: 317-528-7515
Mr. Michael James Summitt, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 747 E County Line Rd, Ste. B, Greenwood, IN 46143 Phone: 317-789-9600
Jennifer N Johnston, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 747 E County Line Rd Ste B, Greenwood, IN 46143 Phone: 317-472-7812 Fax: 317-789-0600
Mrs. Kristi Lynn Blackburn, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1700 W Smith Valley Rd # Unityc-1, Greenwood, IN 46142 Phone: 317-300-4091
Jennifer Joanne Pixley-dawson, PA -C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1260 Innovation Pkwy, Suite 100, Greenwood, IN 46143 Phone: 317-884-5200 Fax: 317-884-5360
Anna Handy, Physician Assistant Medicare: Medicare Enrolled Practice Location: 521 E County Line Rd Ste E, Greenwood, IN 46143 Phone: 317-215-0928
Mallory Galloway, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 701 E County Line Rd Ste 101, Greenwood, IN 46143 Phone: 317-885-2860 Fax: 317-885-2869

Mr Brandon Fultz, PA-C - Medicare Physician Assistant in Greenwood, IN