Jason Keith Fultz, DO in Madison, AL - Medicare Family Practice

Jason Keith Fultz, DO is a medicare enrolled "Family Medicine" physician in Madison, Alabama. He graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Crestwood Physician Services, Llc and his current practice location is 1650 Slaughter Rd Ste A, Madison, Alabama. You can reach out to his office (for appointments etc.) via phone at (256) 325-3646.

Jason Keith Fultz is licensed to practice in Missouri (license number 2019022592) 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 1164083093.

Contact Information

	Jason Keith Fultz, DO
	1650 Slaughter Rd Ste A, Madison, AL 35758-8610
	(256) 325-3646
	(256) 325-3647

Map and Direction

Physician's Profile

Full Name	Jason Keith Fultz
Gender	Male
Speciality	Family Practice
Experience	5 Years
Location	1650 Slaughter Rd Ste A, Madison, Alabama
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:

Jason Keith Fultz graduated from medical school in 2019

NPI Data:

NPI Number: 1164083093
Provider Enumeration Date: 06/21/2019
Last Update Date: 08/01/2022

Medicare PECOS Information:

PECOS PAC ID: 5294060422
Enrollment ID: I20220711000536

Medical Identifiers

Medical identifiers for Jason Keith Fultz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164083093	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	2019022592 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Crestwood Medical Center	Huntsville, AL	Hospital
Huntsville Hospital	Huntsville, AL	Hospital
Athens Limestone Hospital	Athens, AL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Crestwood Physician Services, Llc	3476735648	38

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. Jason Keith Fultz allows following entities to bill medicare on his behalf.

Entity Name	Crestwood Physician Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154622520 PECOS PAC ID: 3476735648 Enrollment ID: O20110309000303

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. Jason Keith Fultz 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
Jason Keith Fultz, DO 551 E Southampton Dr, Columbia, MO 65201-4236 Ph: (573) 884-7733	Jason Keith Fultz, DO 1650 Slaughter Rd Ste A, Madison, AL 35758-8610 Ph: (256) 325-3646

Reviews and Comments

Family Medicine Doctors in Madison, AL

Kealan O'neill, D.O. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 104 Spenryn Dr, Madison, AL 35758 Phone: 256-772-4300 Fax: 256-772-4302
Samuel Waling, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1650 Slaughter Rd Ste A, Madison, AL 35758 Phone: 256-325-3646 Fax: 256-325-3647
Deborah Booher Kolb, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8371 Highway 72 W, Suite 200, Madison, AL 35758 Phone: 256-722-0664 Fax: 256-722-0285
Leelasri Vanguru, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 540 Hughes Rd Ste 10, Madison, AL 35758 Phone: 256-464-2920 Fax: 256-542-3200
Mrs. Valerie Levick Wright, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1650 Slaughter Rd Ste A, Madison, AL 35758 Phone: 256-325-3646 Fax: 256-325-3647
Dr. Caswall C Harrigan Sr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8045 Highway 72 W, Suite 100, Madison, AL 35758 Phone: 256-837-2271 Fax: 256-837-2910
David W Purner, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12205 County Line Rd, Suite B, Madison, AL 35758 Phone: 256-325-4365 Fax: 256-461-0393

Jason Keith Fultz, DO - Medicare Family Practice in Madison, AL