Mrs Karen J Fulwood, NP - Medicare Nurse Practitioner in Myrtle Beach, SC

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Mrs Karen J Fulwood, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Myrtle Beach, South Carolina. She graduated from nursing school in 2009 and has 17 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mofdaps And Company, Rebound Behavioral Health Llc, Lifesource Of North Carolina and her current practice location is 401 79th Ave N, Myrtle Beach, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 948-1191.

Mrs Karen J Fulwood is licensed to practice in South Carolina (license number 3301) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1164414520.

Contact Information

Mrs Karen J Fulwood, NP
401 79th Ave N,
Myrtle Beach, SC 29572-4310
(843) 948-1191
(843) 948-1192

Map and Direction




Provider's Profile

Full NameMrs Karen J Fulwood
GenderFemale
SpecialityNurse Practitioner
Experience17 Years
Location401 79th Ave N, Myrtle Beach, South Carolina
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Karen J Fulwood graduated from nursing school in 2009
  NPI Data:
  • NPI Number: 1164414520
  • Provider Enumeration Date: 08/22/2005
  • Last Update Date: 07/31/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6608923578
  • Enrollment ID: I20141124000655

Medical Identifiers

Medical identifiers for Mrs Karen J Fulwood such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164414520NPI-NPPES
6005035MedicaidNC
2632023OtherUNITED HEALTHCARE
NP2798MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 201429 (North Carolina)Secondary
363LP2300XNurse Practitioner - Primary Care 201429 (North Carolina)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 3301 (South Carolina)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. Mrs Karen J Fulwood allows following entities to bill medicare on her behalf.
Entity NameMofdaps and Company
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144458183
PECOS PAC ID: 3678611720
Enrollment ID: O20091110000261
Entity NameLifesource of North Carolina
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972861789
PECOS PAC ID: 7416132428
Enrollment ID: O20120801000901
Entity NameRebound Behavioral Health LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437593605
PECOS PAC ID: 2062656747
Enrollment ID: O20140730001701
Entity NameLifesource Prime Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851143523
PECOS PAC ID: 7810336385
Enrollment ID: O20240613002055
Entity NameMental Health Specialty Group PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801472634
PECOS PAC ID: 8921466228
Enrollment ID: O20240926003314
Entity NameAnucare Wellness Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184448920
PECOS PAC ID: 1951824465
Enrollment ID: O20250325003453
Entity NameSondermind PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710647581
PECOS PAC ID: 3577099621
Enrollment ID: O20251108000068

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. Mrs Karen J Fulwood 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 AddressPractice Location Address
Mrs Karen J Fulwood, NP
103 Nez Perce Dr,
Darlington, SC 29532-4237

Ph: (563) 495-8861		Mrs Karen J Fulwood, NP
401 79th Ave N,
Myrtle Beach, SC 29572-4310

Ph: (843) 948-1191

Reviews and Comments


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Wilma J Spencer, NP
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Phone: 843-663-1013    Fax: 843-663-1017
Mrs. Cyril Eunice Aboy Ferreras, FNP-C
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Mrs. Angela Kathline Naples, APRN FNP-C
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Jessica Ann Reviea, FNP-C
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Mary E Byrd, DNP, FNP-BC
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Medicare: Medicare Enrolled
Practice Location: 5010 Carolina Forest Blvd, Myrtle Beach, SC 29579
Phone: 843-236-2700    Fax: 843-236-2726
Alexander Petkovsek,
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.