Tracie Fullove, MD in Fayetteville, AR - Medicare Family Practice

Tracie Fullove, MD is a medicare enrolled "Family Medicine" physician in Fayetteville, Arkansas. She went to University Of Mississippi School Of Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice St. Francis House Nwa, Inc. and her current practice location is 3162 W Martin Luther King Blvd Ste 13-14, Fayetteville, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 935-4834.

Tracie Fullove is licensed to practice in Arkansas (license number E-11276) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1962865659.

Contact Information

	Tracie Fullove, MD
	3162 W Martin Luther King Blvd Ste 13-14, Fayetteville, AR 72704-7679
	(479) 935-4834
	(479) 249-9879

Map and Direction

Physician's Profile

Full Name	Tracie Fullove
Gender	Female
Speciality	Family Practice
Experience	8 Years
Location	3162 W Martin Luther King Blvd Ste 13-14, Fayetteville, Arkansas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tracie Fullove attended and graduated from University Of Mississippi School Of Medicine in 2016

NPI Data:

NPI Number: 1962865659
Provider Enumeration Date: 03/31/2016
Last Update Date: 06/19/2019

Medicare PECOS Information:

PECOS PAC ID: 2860782554
Enrollment ID: I20190726000143

Medical Identifiers

Medical identifiers for Tracie Fullove such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962865659	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	E-11276 (Arkansas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St. Francis House Nwa, Inc.	0042262495	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. Tracie Fullove allows following entities to bill medicare on her behalf.

Entity Name	St. Francis House Nwa, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417197245 PECOS PAC ID: 0042262495 Enrollment ID: O20090526000134

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. Tracie Fullove 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
Tracie Fullove, MD 607 Hampton Cir Apt G, Jackson, MS 39211-2334 Ph: () -	Tracie Fullove, MD 3162 W Martin Luther King Blvd Ste 13-14, Fayetteville, AR 72704-7679 Ph: (479) 935-4834

Reviews and Comments

Family Medicine Doctors in Fayetteville, AR

Mr. Eric P B Goodspeed, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 3215 N Northhills Blvd, Fayetteville, AR 72703 Phone: 479-463-7102 Fax: 479-463-7864
Dustin Hoover, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 767 W North St, Fayetteville, AR 72701 Phone: 479-966-5088 Fax: 479-282-0469
Dr. Larry D Coker, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3399 Black Forest Dr, Suite 2, Fayetteville, AR 72704 Phone: 479-757-5056 Fax: 479-757-5057
Dr. Carol A Fossey, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 525 N Garland Ave, Fayetteville, AR 72701 Phone: 479-575-6479 Fax: 479-575-8793
Alfred Y Gordon, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3340 N College Ave Ste 5, Fayetteville, AR 72703 Phone: 479-443-3536 Fax: 479-443-3933
Stanley Bradley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 325 E Longview Street, Fayetteville, AR 72703 Phone: 479-463-7385 Fax: 479-444-7120
Miss Marielie Heidi Agesilas, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1125 N College Ave, Fayetteville, AR 72703 Phone: 479-521-8260

Tracie Fullove, MD - Medicare Family Practice in Fayetteville, AR