Dr Zackary Cusati Fulks, DC is a medicare enrolled "Chiropractor" provider in Lakeside, California. His current practice location is
10039 Vine St, Lakeside, California. You can reach out to his office (for appointments etc.) via phone at
(833) 867-4642.
Dr Zackary Cusati Fulks is licensed to practice in California (license number DC36546) 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 1407562531.
Healthcare Provider's Profile
| Full Name | Dr Zackary Cusati Fulks |
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| Gender | Male |
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| Speciality | Chiropractor |
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| Location | 10039 Vine St, Lakeside, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1407562531
- Provider Enumeration Date: 01/23/2023
- Last Update Date: 01/23/2023
Medicare PECOS Information:
- PECOS PAC ID: 1850747437
- Enrollment ID: I20231102002324
Medical Identifiers
Medical identifiers for Dr Zackary Cusati Fulks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1407562531 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | DC36546 (California) | 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. Dr Zackary Cusati Fulks allows following entities to bill medicare on his behalf.
| Provider Name | Neighborhood Healthcare |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1598703647
PECOS PAC ID: 5294649406
Enrollment ID: O20031112000809 |
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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. Dr Zackary Cusati 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 |
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Dr Zackary Cusati Fulks, DC
2520 Northside Dr Apt 214,
San Diego, CA 92108-2794
Ph: (925) 451-9375 | Dr Zackary Cusati Fulks, DC
10039 Vine St,
Lakeside, CA 92040-3120
Ph: (833) 867-4642 |
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