Chad B Fullmer, MPT in Provo, UT - Medicare Physical Therapy Provider

Chad B Fullmer, MPT is a medicare enrolled "Physical Therapist" provider in Provo, Utah. He graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Independence Rehab Llc and his current practice location is 5314 River Run Dr, Provo, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 426-4905.

Chad B Fullmer is licensed to practice in Utah (license number 4877705-2401) 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 1285760033.

Contact Information

	Chad B Fullmer, MPT
	5314 River Run Dr, Provo, UT 84604-5691
	(801) 426-4905
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Chad B Fullmer
Gender	Male
Speciality	Physical Therapy
Experience	24 Years
Location	5314 River Run Dr, Provo, Utah
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:

Chad B Fullmer graduated from medical school in 2000

NPI Data:

NPI Number: 1285760033
Provider Enumeration Date: 02/26/2007
Last Update Date: 07/15/2015

Medicare PECOS Information:

PECOS PAC ID: 5597798108
Enrollment ID: I20060324000243

Medical Identifiers

Medical identifiers for Chad B Fullmer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285760033	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	4877705-2401 (Utah)	Primary
225100000X	Physical Therapist	PT00010369 (Washington)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Independence Rehab Llc	0143478453	18

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. Chad B Fullmer allows following entities to bill medicare on his behalf.

Provider Name	Independence Rehab Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1063781813 PECOS PAC ID: 0143478453 Enrollment ID: O20120911000750

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. Chad B Fullmer 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
Chad B Fullmer, MPT 1215 W 2420 N, Pleasant Grove, UT 84062-8083 Ph: (801) 635-6602	Chad B Fullmer, MPT 5314 River Run Dr, Provo, UT 84604-5691 Ph: (801) 426-4905

Reviews and Comments

Physical Therapist in Provo, UT

Rhonda L Metcalf, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-373-7850
Brandon Niel Smith, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 68 N 2830 W, Provo, UT 84601 Phone: 801-310-2207
Ms. Maryjane Ligairi, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-373-7850
Jacie Saltzman, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7850
Monica Maria Alvarez Hinckley, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1157 N 300 W, Provo, UT 84604 Phone: 801-357-1250 Fax: 801-357-1255
Independence Rehab, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 5314 River Run Dr, Suite 140, Provo, UT 84604 Phone: 801-494-0486 Fax: 801-494-0533
Bridger Park, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1034 North 500 West, Provo, UT 84604 Phone: 801-357-1250

Chad B Fullmer, MPT - Medicare Physical Therapist in Provo, UT