Dr Dean Roy Fullingim, DO in Tulsa, OK - Medicare Diagnostic Radiology

Dr Dean Roy Fullingim, DO is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Tulsa, Oklahoma. He went to Kansas City University Of Physicians And Surgeons and graduated in 1971 and has 53 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Creek Nation Hospital And Clinics, Cherokee Nation and his current practice location is 744 W 9th St, Tulsa, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (918) 728-6194.

Dr Dean Roy Fullingim is licensed to practice in Oklahoma (license number 1610) 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 1770574253.

Contact Information

	Dr Dean Roy Fullingim, DO
	744 W 9th St, Tulsa, OK 74127-9020
	(918) 728-6194
	(918) 664-2521

Map and Direction

Physician's Profile

Full Name	Dr Dean Roy Fullingim
Gender	Male
Speciality	Diagnostic Radiology
Experience	53 Years
Location	744 W 9th St, Tulsa, Oklahoma
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Dean Roy Fullingim attended and graduated from Kansas City University Of Physicians And Surgeons in 1971

NPI Data:

NPI Number: 1770574253
Provider Enumeration Date: 11/02/2005
Last Update Date: 03/28/2017

Medicare PECOS Information:

PECOS PAC ID: 5193710929
Enrollment ID: I20050127000975

Medical Identifiers

Medical identifiers for Dr Dean Roy Fullingim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770574253	NPI	-	NPPES
100093690A	Medicaid	OK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	1610 (Oklahoma)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Saint Francis Hospital Muskogee	Muskogee, OK	Hospital
Cherokee Nation W W Hastings Indian Hospital	Tahlequah, OK	Hospital
St Mary's Regional Medical Center	Enid, OK	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Creek Nation Hospital And Clinics	5698786226	277
Cherokee Nation	5799698742	361

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 Dean Roy Fullingim allows following entities to bill medicare on his behalf.

Entity Name	Ctca Physicans Group Of Oklahoma, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053309591 PECOS PAC ID: 2163328774 Enrollment ID: O20031212000074

Entity Name	Creek Nation Hospital & Clinics
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366593923 PECOS PAC ID: 5698786226 Enrollment ID: O20070821000130

Entity Name	Landmark Cancer Center Gp Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598102345 PECOS PAC ID: 1658506662 Enrollment ID: O20131029001312

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 Dean Roy Fullingim 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
Dr Dean Roy Fullingim, DO 4500 S Garnett Rd, Suite 919, Tulsa, OK 74146-5229 Ph: (918) 728-6194	Dr Dean Roy Fullingim, DO 744 W 9th St, Tulsa, OK 74127-9020 Ph: (918) 728-6194

Reviews and Comments

Radiology Doctors in Tulsa, OK

Jonathan Cross, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5801 E 41st St Ste 900, Tulsa, OK 74135 Phone: 918-747-4975 Fax: 918-743-8552
Dr. Kim R Hauger, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5801 E 41st St Ste 900, Tulsa, OK 74135 Phone: 918-747-4975 Fax: 918-743-8552
Nina Jones, MD Radiology Medicare: Medicare Enrolled Practice Location: 4500 S Garnett Rd Ste 300, Tulsa, OK 74146 Phone: 918-728-6194
Dr. Leila Danielle See, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 744 W 9th St, Tulsa, OK 74127 Phone: 981-599-5031
Christopher Roman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4500 S Garnett Rd Ste 112, Tulsa, OK 74146 Phone: 918-935-3550
Dr. Phillip Osborn Flinn, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1120 S Utica Ave, Tulsa, OK 74104 Phone: 918-934-8347 Fax: 918-917-4114
Shawn D Grant, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1120 S Utica Ave, Tulsa, OK 74104 Phone: 918-579-7720

Dr Dean Roy Fullingim, DO - Medicare Diagnostic Radiology in Tulsa, OK