Zachary J Fulton, MD is a medicare enrolled "Hospitalist" physician in Mendota, Illinois. He went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 2002 and has 22 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Physicians Immediate Care Ltd., Freeport Memorial Hospital and his current practice location is
1405 E 12th St Ste 200, Mendota, Illinois. You can reach out to his office (for appointments etc.) via phone at
(815) 539-1710.
Zachary J Fulton is licensed to practice in Illinois (license number 036111932) 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 1982676656.
Physician's Profile
Full Name | Zachary J Fulton |
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Gender | Male |
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Speciality | Family Practice |
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Experience | 22 Years |
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Location | 1405 E 12th St Ste 200, Mendota, Illinois |
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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:
- Zachary J Fulton attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 2002
NPI Data:
- NPI Number: 1982676656
- Provider Enumeration Date: 02/06/2006
- Last Update Date: 06/29/2022
Medicare PECOS Information:
- PECOS PAC ID: 2961452131
- Enrollment ID: I20050125000991
Medical Identifiers
Medical identifiers for Zachary J Fulton such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982676656 | NPI | - | NPPES |
036111932 | Medicaid | IL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 036111932 (Illinois) | Secondary |
208M00000X | Hospitalist | 036111932 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Physicians Immediate Care Ltd. | 4486568813 | 48 |
Freeport Memorial Hospital | 8426958232 | 98 |
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. Zachary J Fulton allows following entities to bill medicare on his behalf.
Entity Name | Physicians Immediate Care Ltd. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1528046323 PECOS PAC ID: 4486568813 Enrollment ID: O20031118001089 |
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Entity Name | Freeport Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1447228788 PECOS PAC ID: 8426958232 Enrollment ID: O20040109000305 |
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Entity Name | Physicians Immediate Care North Chicago Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1205814118 PECOS PAC ID: 8729064159 Enrollment ID: O20040626000381 |
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Entity Name | Wellnow Urgent Care, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1669825162 PECOS PAC ID: 8325320864 Enrollment ID: O20190320001131 |
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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. Zachary J Fulton 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 |
Zachary J Fulton, MD 102 S. Hennepin Ave., Ksb Medical Group, Dixon, IL 61021 Ph: (815) 285-8520 | Zachary J Fulton, MD 1405 E 12th St Ste 200, Mendota, IL 61342-9011 Ph: (815) 539-1710 |
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