Jerry Wallace Fulford, - Massage Therapist in Capitola, CA

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Jerry Wallace Fulford, is a Massage Therapist based in Capitola, California. Jerry Wallace Fulford is licensed to practice in California (license number 75622) and his current practice location is 4170 Gross Rd. Extension, Suite 6, Capitola, California. He can be reached at his office (for appointments etc.) via phone at (831) 464-1605.

NPI number for Jerry Wallace Fulford is 1427547355 and his current mailing address is 4170 Gross Rd. Extension, Suite 6, Capitola, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1427547355.

Contact Information

Jerry Wallace Fulford,
4170 Gross Rd. Extension, Suite 6,
Capitola, CA 95010
(831) 464-1605
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJerry Wallace Fulford
GenderMale
SpecialityMassage Therapist
Location4170 Gross Rd. Extension, Capitola, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1427547355
  • Provider Enumeration Date: 05/07/2018
  • Last Update Date: 05/07/2018

Medical Identifiers

Medical identifiers for Jerry Wallace Fulford such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427547355NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225700000XMassage Therapist 75622 (California)Primary

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. Jerry Wallace Fulford is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jerry Wallace Fulford,
4170 Gross Rd. Extension, Suite 6,
Capitola, CA 95010

Ph: () -		Jerry Wallace Fulford,
4170 Gross Rd. Extension, Suite 6,
Capitola, CA 95010

Ph: (831) 464-1605

Reviews and Comments


Massage Therapist in Capitola, CA

Ms. Diana Grey,
Massage Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 240 Monterey Ave Apt 4, Capitola, CA 95010
Phone: 831-402-0505    
David William Fournier,
Massage Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 4895 Capitola Rd, Capitola, CA 95010
Phone: 831-345-3763    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.