David A Fullenkamp, OD is a medicare enrolled "Optometrist" provider in Portland, Indiana. His current practice location is
1111 N Meridian St, Portland, Indiana. You can reach out to his office (for appointments etc.) via phone at
(260) 726-4210.
David A Fullenkamp is licensed to practice in Indiana (license number 18002167A) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1043297625.
Healthcare Provider's Profile
Full Name | David A Fullenkamp |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 1111 N Meridian St, Portland, Indiana |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- David A Fullenkamp attended and graduated from in
NPI Data:
- NPI Number: 1043297625
- Provider Enumeration Date: 12/27/2005
- Last Update Date: 11/24/2009
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for David A Fullenkamp such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043297625 | NPI | - | NPPES |
100147120 | Medicaid | IN | |
2090544 | Medicaid | OH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 18002167A (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. David A Fullenkamp 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 |
David A Fullenkamp, OD Po Box 1268, Portland, IN 47371-3268 Ph: (260) 726-4210 | David A Fullenkamp, OD 1111 N Meridian St, Portland, IN 47371-1024 Ph: (260) 726-4210 |
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