Matthew R Fultz, MD in Fort Worth, TX - Medicare General Surgery

Matthew R Fultz, MD is a medicare enrolled "Surgery - Trauma Surgery" physician in Fort Worth, Texas. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Scott And White Clinic and his current practice location is 1500 S Main St, Fort Worth, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 702-3431.

Matthew R Fultz is licensed to practice in Texas (license number R8895) 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 1619235876.

Contact Information

	Matthew R Fultz, MD
	1500 S Main St, Fort Worth, TX 76104-4917
	(817) 702-3431
	Not Available

Map and Direction

Physician's Profile

Full Name	Matthew R Fultz
Gender	Male
Speciality	General Surgery
Experience	12 Years
Location	1500 S Main St, Fort Worth, Texas
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:

Matthew R Fultz graduated from medical school in 2012

NPI Data:

NPI Number: 1619235876
Provider Enumeration Date: 04/25/2012
Last Update Date: 05/10/2024

Medicare PECOS Information:

PECOS PAC ID: 9436400637
Enrollment ID: I20180927002028

Medical Identifiers

Medical identifiers for Matthew R Fultz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619235876	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0127X	Surgery - Trauma Surgery	R8895 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Baylor Scott & White Pavilion - Temple	Temple, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Scott And White Clinic	8123923604	2143

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. Matthew R Fultz allows following entities to bill medicare on his behalf.

Entity Name	Scott & White Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093779704 PECOS PAC ID: 8123923604 Enrollment ID: O20031223000640

Entity Name	Acclaim Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780076562 PECOS PAC ID: 4587963582 Enrollment ID: O20160426000707

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. Matthew R 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
Matthew R Fultz, MD Po Box 732973, Dallas, TX 75373-4658 Ph: () -	Matthew R Fultz, MD 1500 S Main St, Fort Worth, TX 76104-4917 Ph: (817) 702-3431

Reviews and Comments

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Ryan Kostka, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 S Main St Fl 2, Fort Worth, TX 76104 Phone: 817-702-3000 Fax: 817-927-3958
Dr. Nabeel M Shabout, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3848 N Tarrant Pkwy Ste 100, Fort Worth, TX 76244 Phone: 817-753-6917 Fax: 817-753-6921
Miss Ruth Ellen Jones, M. D. Surgery Medicare: Medicare Enrolled Practice Location: 1500 Cooper St, Fort Worth, TX 76104 Phone: 682-885-7080 Fax: 682-885-7085

Matthew R Fultz, MD - Medicare General Surgery in Fort Worth, TX