Daniel Raymond Fulk, DO is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Carbondale, Illinois. His current practice location is
1200 Cedar Ct, Carbondale, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 529-8500.
Daniel Raymond Fulk is licensed to practice in Illinois (license number 036.128075) 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 1962432286.
Physician's Profile
Full Name | Daniel Raymond Fulk |
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Gender | Male |
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Speciality | Radiology - Diagnostic Radiology |
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Location | 1200 Cedar Ct, Carbondale, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1962432286
- Provider Enumeration Date: 07/03/2006
- Last Update Date: 06/15/2011
Medicare PECOS Information:
- PECOS PAC ID: 1658328315
- Enrollment ID: I20110811000429
Medical Identifiers
Medical identifiers for Daniel Raymond Fulk such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962432286 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | 036.128075 (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. Daniel Raymond Fulk allows following entities to bill medicare on his behalf.
Entity Name | Radiologic Interpretations Of Southern Illinois Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1730218652 PECOS PAC ID: 9335249606 Enrollment ID: O20070716000562 |
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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. Daniel Raymond 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 |
Daniel Raymond Fulk, DO 1200 Cedar Ct, Carbondale, IL 62901-5334 Ph: (618) 529-8500 | Daniel Raymond Fulk, DO 1200 Cedar Ct, Carbondale, IL 62901-5334 Ph: (618) 529-8500 |
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