Dr Jace Paul Fullmer, DO in Salt Lake City, UT

Dr Jace Paul Fullmer, DO is a medicare enrolled "Emergency Medicine" physician in Salt Lake City, Utah. He went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 2011 and has 13 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Utah Emergency Physicians and his current practice location is 5121 S Cottonwood St, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 507-9700.

Dr Jace Paul Fullmer is licensed to practice in Utah (license number 9415721-1204) 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 1306145776.

Contact Information

	Dr Jace Paul Fullmer, DO
	5121 S Cottonwood St, Salt Lake City, UT 84107-5701
	(801) 507-9700
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Jace Paul Fullmer
Gender	Male
Speciality	Emergency Medicine
Experience	13 Years
Location	5121 S Cottonwood St, Salt Lake City, Utah
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 Jace Paul Fullmer attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 2011

NPI Data:

NPI Number: 1306145776
Provider Enumeration Date: 03/23/2011
Last Update Date: 12/19/2015

Medicare PECOS Information:

PECOS PAC ID: 6608007612
Enrollment ID: I20150824002501

Medical Identifiers

Medical identifiers for Dr Jace Paul Fullmer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306145776	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	9415721-1204 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mckay Dee Hospital	Ogden, UT	Hospital
Layton Hospital	Layton, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Utah Emergency Physicians	1153307277	124

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 Jace Paul Fullmer allows following entities to bill medicare on his behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079

Entity Name	Utah Emergency Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588048979 PECOS PAC ID: 1153307277 Enrollment ID: O20040628001454

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 Jace Paul Fullmer 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 Jace Paul Fullmer, DO 5121 S Cottonwood St, Salt Lake City, UT 84107-5701 Ph: () -	Dr Jace Paul Fullmer, DO 5121 S Cottonwood St, Salt Lake City, UT 84107-5701 Ph: (801) 507-9700

Reviews and Comments

Emergency Medicine Doctors in Salt Lake City, UT

Dr. Benjamin J. Verseman, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 30 N 1900 E # 1c026, Salt Lake City, UT 84132 Phone: 801-581-2417
Dr. Carrie Anderson, DVM Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1021 E 3300 S, Salt Lake City, UT 84106 Phone: 801-942-3951 Fax: 801-942-3951
Lindsey L. Fell, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: Helix: 30 N Mario Capecchi Dr Rm 2s200, Salt Lake City, UT 84112 Phone: 801-581-2121
Jared C Dunn, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5848 S Fashion Blvd Ste 110, Salt Lake City, UT 84107 Phone: 801-314-4020 Fax: 801-314-4015
Jeffrey Druck, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2121
Joshua A. Berko, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 30 N 1900 E # 1c026, Salt Lake City, UT 84132 Phone: 801-581-2417
Kristen Jahn, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1050 E South Temple, Salt Lake City, UT 84102 Phone: 801-350-4111

Dr Jace Paul Fullmer, DO - Medicare Emergency Medicine in Salt Lake City, UT