Miss Jenna M Fulks, PT, DPT in Grayslake, IL - Medicare Physical Therapist Provider

Miss Jenna M Fulks, PT, DPT is a medicare enrolled "Physical Therapist - Orthopedic" provider in Grayslake, Illinois. Her current practice location is 997 N Corporate Cir Ste B, Grayslake, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 223-8001.

Miss Jenna M Fulks is licensed to practice in Illinois (license number 070.026739) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1124754593.

Contact Information

	Miss Jenna M Fulks, PT, DPT
	997 N Corporate Cir Ste B, Grayslake, IL 60030-7822
	(847) 223-8001
	(847) 986-3580

Map and Direction

Healthcare Provider's Profile

Full Name	Miss Jenna M Fulks
Gender	Female
Speciality	Physical Therapist - Orthopedic
Location	997 N Corporate Cir Ste B, Grayslake, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124754593
Provider Enumeration Date: 07/28/2022
Last Update Date: 07/28/2022

Medicare PECOS Information:

PECOS PAC ID: 6507240124
Enrollment ID: I20220831002157

Medical Identifiers

Medical identifiers for Miss Jenna M Fulks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124754593	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251X0800X	Physical Therapist - Orthopedic	070.026739 (Illinois)	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. Miss Jenna M Fulks allows following entities to bill medicare on her behalf.

Provider Name	Grayslake Rehabilitation And Complete Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1982726683 PECOS PAC ID: 4183679400 Enrollment ID: O20050318000597

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. Miss Jenna M Fulks 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
Miss Jenna M Fulks, PT, DPT 997 N Corporate Cir Ste B, Grayslake, IL 60030-7822 Ph: (847) 223-8001	Miss Jenna M Fulks, PT, DPT 997 N Corporate Cir Ste B, Grayslake, IL 60030-7822 Ph: (847) 223-8001

Reviews and Comments

Physical Therapist in Grayslake, IL

Anica Rebollar, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 31 S Seymour Ave Ste H, Grayslake, IL 60030 Phone: 224-252-2999
Natalie Marie Trytko, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1475 E Belvidere Rd, Grayslake, IL 60030 Phone: 630-933-1500
Taylor Lynn Kramer, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1475 E Belvidere Rd Ste 185, Grayslake, IL 60030 Phone: 224-271-6406
Mr. Edward J Galarza Jr., BS PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1585 Lupine Ct, Grayslake, IL 60030 Phone: 773-294-0647
Mrs. Jenna R Cohn, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 997 N Corporate Circle, Suite B, Grayslake, IL 60030 Phone: 847-223-8001 Fax: 847-986-3580
Sheila Posedel, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1475 E Belvidere Rd Ste 185, Grayslake, IL 60030 Phone: 847-535-8833

Miss Jenna M Fulks, PT, DPT - Medicare Physical Therapist in Grayslake, IL