Dr Eric David Fulcher, MD is a medicare enrolled "Emergency Medicine" physician in Ottawa Hills, Ohio. His current practice location is
3835 Indian Rd, Ottawa Hills, Ohio. You can reach out to his office (for appointments etc.) via phone at
(419) 754-3669.
Dr Eric David Fulcher is licensed to practice in Kentucky (license number 41464) 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 1306030499.
Physician's Profile
Full Name | Dr Eric David Fulcher |
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Gender | Male |
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Speciality | Emergency Medicine |
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Location | 3835 Indian Rd, Ottawa Hills, Ohio |
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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: 1306030499
- Provider Enumeration Date: 08/31/2007
- Last Update Date: 06/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 8123115359
- Enrollment ID: I20080215000553
Medical Identifiers
Medical identifiers for Dr Eric David Fulcher such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306030499 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 41464 (Kentucky) | Primary |
207P00000X | Emergency Medicine | 35.089940 (Ohio) | Secondary |
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 Eric David Fulcher allows following entities to bill medicare on his behalf.
Entity Name | New Lexington Clinic Psc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1700803681 PECOS PAC ID: 3476457532 Enrollment ID: O20031121000103 |
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Entity Name | Southeastern Emergency Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050302000285 |
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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 Eric David Fulcher 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 Eric David Fulcher, MD 3835 Indian Rd, Ottawa Hills, OH 43606-2339 Ph: (419) 754-3669 | Dr Eric David Fulcher, MD 3835 Indian Rd, Ottawa Hills, OH 43606-2339 Ph: (419) 754-3669 |
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