David A. Fullenkamp, O.d., P.c. - Medicare Optometrist in Portland, IN

David A. Fullenkamp, O.d., P.c. is a medicare enrolled "Optometrist" provider in Portland, Indiana. Their current practice location is 1111 N Meridian St, Portland, Indiana. You can reach out to their office (for appointments etc.) via phone at (260) 726-5161.

David A. Fullenkamp, O.d., P.c. is licensed to practice in Indiana (license number 18002167A) and it also participates in the medicare program. David A. Fullenkamp, O.d., P.c. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1346479284.

Contact Information

David A. Fullenkamp, O.d., P.c.
1111 N Meridian St,
Portland, IN 47371-1024
(260) 726-5161
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDavid A. Fullenkamp, O.d., P.c.
TypeFacility
SpecialityOptometrist
Location1111 N Meridian St, Portland, Indiana
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1346479284
  • Provider Enumeration Date: 07/14/2009
  • Last Update Date: 05/13/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 0547308033
  • Enrollment ID: O20091103000348

Medical Identifiers

Medical identifiers for David A. Fullenkamp, O.d., P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346479284NPI-NPPES
100424160AMedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 18002167A (Indiana)Primary
332H00000XEyewear Supplier 18002167A (Indiana)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. David A. Fullenkamp, O.d., P.c. acts as a billing entity for following providers:
Provider NameDavid Allen Fullenkamp
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1043297625
PECOS PAC ID: 2466355433
Enrollment ID: I20060330000674
Provider NameAbby E Small
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1457975484
PECOS PAC ID: 1254753569
Enrollment ID: I20200615001809

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. David A. Fullenkamp, O.d., P.c. 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
David A. Fullenkamp, O.d., P.c.
1111 N Meridian St, P.o. Box 1268,
Portland, IN 47371-1024

Ph: (260) 726-5161
David A. Fullenkamp, O.d., P.c.
1111 N Meridian St,
Portland, IN 47371-1024

Ph: (260) 726-5161

Reviews and Comments


Optometrist in Portland, IN

David A Fullenkamp, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 1111 N Meridian St, Portland, IN 47371
Phone: 260-726-4210    Fax: 260-726-9347
Dr. Abby Elizabeth Small, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 1111 N Meridian St, Portland, IN 47371
Phone: 260-726-4210    Fax: 260-726-9347
Portland Eye Center
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 1111 N Meridian St, Portland, IN 47371
Phone: 260-726-4210    Fax: 260-726-9347

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.