Emily Ellen Fulk, PA-C in Kenosha, WI - Medicare Physician Assistant

Emily Ellen Fulk, PA-C is a medicare enrolled "Physician Assistant - Medical" in Kenosha, Wisconsin. Her current practice location is 3400 Market Ln, Kenosha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 551-4600.

Emily Ellen Fulk is licensed to practice in Wisconsin (license number 7435-23) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1427831585.

Contact Information

	Emily Ellen Fulk, PA-C
	3400 Market Ln, Kenosha, WI 53144-3430
	(262) 551-4600
	Not Available

Map and Direction

Provider's Profile

Full Name	Emily Ellen Fulk
Gender	Female
Speciality	Physician Assistant - Medical
Location	3400 Market Ln, Kenosha, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427831585
Provider Enumeration Date: 08/14/2023
Last Update Date: 08/14/2023

Medicare PECOS Information:

PECOS PAC ID: 3678937596
Enrollment ID: I20230912000247

Medical Identifiers

Medical identifiers for Emily Ellen Fulk such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427831585	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	7435-23 (Wisconsin)	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. Emily Ellen Fulk 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
Emily Ellen Fulk, PA-C 816 Cornerstone Xing Apt 12, Waterford, WI 53185-4540 Ph: (309) 530-5060	Emily Ellen Fulk, PA-C 3400 Market Ln, Kenosha, WI 53144-3430 Ph: (262) 551-4600

Reviews and Comments

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Emily Ellen Fulk, PA-C - Medicare Physician Assistant in Kenosha, WI