Eli Jacob Fulfer, in Springdale, AR - Medicare Nurse Practitioner

Eli Jacob Fulfer, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Springdale, Arkansas. His current practice location is 609 W Maple Ave, Springdale, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 530-9754.

Eli Jacob Fulfer is licensed to practice in Arkansas (license number 213657) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1629848098.

Contact Information

	Eli Jacob Fulfer,
	609 W Maple Ave, Springdale, AR 72764-5335
	(479) 530-9754
	Not Available

Map and Direction

Provider's Profile

Full Name	Eli Jacob Fulfer
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	609 W Maple Ave, Springdale, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629848098
Provider Enumeration Date: 01/05/2024
Last Update Date: 09/30/2024

Medicare PECOS Information:

PECOS PAC ID: 2365973526
Enrollment ID: I20240930002131

Medical Identifiers

Medical identifiers for Eli Jacob Fulfer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629848098	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	213657 (Arkansas)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	213657 (Arkansas)	Primary

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. Eli Jacob Fulfer allows following entities to bill medicare on his behalf.

Entity Name	Northwest Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194768721 PECOS PAC ID: 0244213213 Enrollment ID: O20040610000882

Entity Name	Holden Psychiatric Institute Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205001088 PECOS PAC ID: 9234114349 Enrollment ID: O20040622001640

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. Eli Jacob Fulfer 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
Eli Jacob Fulfer, 3109 S 28th Pl Apt 1, Rogers, AR 72758-4720 Ph: (479) 530-9754	Eli Jacob Fulfer, 609 W Maple Ave, Springdale, AR 72764-5335 Ph: (479) 530-9754

Reviews and Comments

Nurse Practitioner Nurses in Springdale, AR

Scarlett Vanessa Grandy, CNM, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 614 E Emma Ave Ste 300, Springdale, AR 72764 Phone: 479-751-7417
Scott Grigg, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4301 Greathouse Springs Rd, Springdale, AR 72762 Phone: 479-684-3132 Fax: 479-684-3098
Andrew Long, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 609 W Maple Ave, Springdale, AR 72764 Phone: 479-751-5711
Kaylee M Armendariz, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2878 Powell St, Springdale, AR 72764 Phone: 479-872-3045 Fax: 479-419-5947
James Robert Feher, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4077 Elm Springs Rd Ste 105, Springdale, AR 72762 Phone: 479-927-2100
Kelsey Breanne Gay, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 901 Jones Rd, Springdale, AR 72762 Phone: 417-850-4313
Stephanie Burks, FNP-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 210 S Thompson St Ste 4a, Springdale, AR 72764 Phone: 479-445-9900

Eli Jacob Fulfer, - Medicare Nurse Practitioner in Springdale, AR