Mr George David Fulk, PT in Potsdam, NY - Medicare Physical Therapist Provider

Mr George David Fulk, PT is a medicare enrolled "Physical Therapist" provider in Potsdam, New York. His current practice location is 59 Main Street, Potsdam, New York. You can reach out to his office (for appointments etc.) via phone at (315) 261-5460.

Mr George David Fulk is licensed to practice in Georgia (license number 017034) 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 1316156573.

Contact Information

	Mr George David Fulk, PT
	59 Main Street, Potsdam, NY 13676
	(315) 261-5460
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr George David Fulk
Gender	Male
Speciality	Physical Therapist
Location	59 Main Street, Potsdam, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316156573
Provider Enumeration Date: 05/22/2007
Last Update Date: 04/01/2024

Medicare PECOS Information:

PECOS PAC ID: 2466980768
Enrollment ID: I20250115000374

Medical Identifiers

Medical identifiers for Mr George David Fulk such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316156573	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	017034 (Georgia)	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. Mr George David Fulk allows following entities to bill medicare on his behalf.

Provider Name	The Emory Clinic Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503

Provider Name	Emory Medical Care Foundation Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1063452381 PECOS PAC ID: 4981501814 Enrollment ID: O20031217000968

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 George David Fulk 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 George David Fulk, PT 266 3rd Ave, Avondale Estates, GA 30002-1128 Ph: (315) 244-6371	Mr George David Fulk, PT 59 Main Street, Potsdam, NY 13676 Ph: (315) 261-5460

Reviews and Comments

Physical Therapist in Potsdam, NY

Jeanine Crosby, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 56 Market St, Potsdam, NY 13676 Phone: 315-265-4065 Fax: 315-265-0012
Mrs. Jaime Byington Bicknell, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 49 Lawrence Ave, Potsdam, NY 13676 Phone: 315-261-5460 Fax: 315-261-6460
Caitlyn Dupray, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 49 Lawrence Ave, Potsdam, NY 13676 Phone: 315-261-5460 Fax: 315-261-6460
Rebecca Ann Martin, Physical Therapist Medicare: Medicare Enrolled Practice Location: 49 Lawrence Ave, Potsdam, NY 13676 Phone: 315-264-5460
Mary Alice Minot, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 862 Morley Potsdam Rd, Potsdam, NY 13676 Phone: 315-379-0423
Tracy Jo French, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 50 Leroy St., Potsdam, NY 13676 Phone: 315-261-5460 Fax: 315-261-6460
Connie T Bicknell, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 190 Main St, Potsdam, NY 13676 Phone: 315-265-3990 Fax: 315-265-3993

Mr George David Fulk, PT - Medicare Physical Therapist in Potsdam, NY