Clark J Fullmer Ii, DPM - Medicare Podiatrist in Dickinson, ND

Clark J Fullmer Ii, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Dickinson, North Dakota. He went to California College Podiatric Medicine and graduated in 1995 and has 25 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Sanford Bismarck and his current practice location is 2615 Fairway St, Dickinson, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 456-6000.

Clark J Fullmer Ii is licensed to practice in North Dakota (license number 60) 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 1649240557.

Contact Information

Clark J Fullmer Ii, DPM
2615 Fairway St,
Dickinson, ND 58601
(701) 456-6000
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameClark J Fullmer Ii
GenderMale
SpecialityPodiatry
Experience25 Years
Location2615 Fairway St, Dickinson, North Dakota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Clark J Fullmer Ii attended and graduated from California College Podiatric Medicine in 1995
  NPI Data:
  • NPI Number: 1649240557
  • Provider Enumeration Date: 01/24/2006
  • Last Update Date: 08/30/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 4981708567
  • Enrollment ID: I20100127000303

Medical Identifiers

Medical identifiers for Clark J Fullmer Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649240557NPI-NPPES
14953MedicaidND

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0103XPodiatrist - Foot & Ankle Surgery 60 (North Dakota)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sanford Bismarck9739098575366

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. Clark J Fullmer Ii allows following entities to bill medicare on his behalf.
Provider NameSanford Bismarck
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1811941172
PECOS PAC ID: 9739098575
Enrollment ID: O20031105000403
Provider NameSanford Bismarck
Provider TypePart B Supplier - Ambulatory Surgical Center
Provider IdentifiersNPI Number: 1598185597
PECOS PAC ID: 9739098575
Enrollment ID: O20040304000249

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. Clark J Fullmer Ii 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
Clark J Fullmer Ii, DPM
2615 Fairway St,
Dickinson, ND 58601-2590

Ph: (701) 456-6000
Clark J Fullmer Ii, DPM
2615 Fairway St,
Dickinson, ND 58601

Ph: (701) 456-6000

Reviews and Comments

Podiatrist in Dickinson, ND

Dr. Cherian Mathew, D.P.M.
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 2215 Sims St, Dickinson, ND 58601
Phone: 701-483-6986    Fax: 701-483-6974

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.