Elizabeth Fullerton, in Spearfish, SD - Medicare Dietitian, Registered Provider

Elizabeth Fullerton, is a medicare enrolled "Dietitian, Registered" provider in Spearfish, South Dakota. Her current practice location is 1420 N 10th St Suite 1, Spearfish, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 717-8595.

Elizabeth Fullerton is licensed to practice in * (Not Available) (license number ) 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 1396469110.

Contact Information

	Elizabeth Fullerton,
	1420 N 10th St Suite 1, Spearfish, SD 57783
	(605) 717-8595
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Elizabeth Fullerton
Gender	Female
Speciality	Dietitian, Registered
Location	1420 N 10th St Suite 1, Spearfish, South Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396469110
Provider Enumeration Date: 09/27/2022
Last Update Date: 09/27/2022

Medicare PECOS Information:

PECOS PAC ID: 0244601367
Enrollment ID: I20230126002936

Medical Identifiers

Medical identifiers for Elizabeth Fullerton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396469110	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	(* (Not Available))	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. Elizabeth Fullerton allows following entities to bill medicare on her behalf.

Provider Name	Monument Health Network Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1588185268 PECOS PAC ID: 5991616427 Enrollment ID: O20031111000854

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. Elizabeth Fullerton 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
Elizabeth Fullerton, 1420 N 10th St Suite 1, Spearfish, SD 57783 Ph: () -	Elizabeth Fullerton, 1420 N 10th St Suite 1, Spearfish, SD 57783 Ph: (605) 717-8595

Reviews and Comments

Dietitian, Registered in Spearfish, SD

Regional Health Spearfish Hosptial Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1440 N Main St, Spearfish, SD 57783 Phone: 605-644-4000
Melissa M Bardsley, RD, CDE, CD Dietitian Medicare: Medicare Enrolled Practice Location: 1420 N 10th St, Spearfish, SD 57783 Phone: 605-717-8595 Fax: 605-642-8618
Rebecca Rae Dorsett, LN Dietitian Medicare: Medicare Enrolled Practice Location: 1440 North Main Street, Spearfish, SD 57783 Phone: 605-644-4095 Fax: 605-644-4011
Shawna J Smoot, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 1440 N Main St, Spearfish, SD 57783 Phone: 605-644-4072
Kimberley B Hepper, MNT Dietitian Medicare: Medicare Enrolled Practice Location: 1440 N Main St, Spearfish, SD 57783 Phone: 605-644-4000
Queen City Regional Medical Clinic Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1420 N 10th St, Spearfish, SD 57783 Phone: 605-642-8414

Elizabeth Fullerton, - Medicare Dietitian in Spearfish, SD