Judith Ann Fulton, FNP is a medicare enrolled "Nurse Practitioner - Family" in Manchester, Ohio. Her current practice location is
130 Wayne Frye Dr, Manchester, Ohio. You can reach out to her office (for appointments etc.) via phone at
(937) 549-1270.
Judith Ann Fulton is licensed to practice in Ohio (license number APRN.CNP.020752) 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 1821519943.
Provider's Profile
| Full Name | Judith Ann Fulton |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 130 Wayne Frye Dr, Manchester, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1821519943
- Provider Enumeration Date: 06/28/2017
- Last Update Date: 02/14/2022
Medicare PECOS Information:
- PECOS PAC ID: 6608205760
- Enrollment ID: I20220916000486
Medical Identifiers
Medical identifiers for Judith Ann Fulton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1821519943 | NPI | - | NPPES |
| 0249089 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.020752 (Ohio) | 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. Judith Ann Fulton allows following entities to bill medicare on her behalf.
| Entity Name | Community Action Committee Of Pike County |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578974929
PECOS PAC ID: 3173432762
Enrollment ID: O20141022000689 |
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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. Judith Ann 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 |
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Judith Ann Fulton, FNP
14575 State Route 41,
West Union, OH 45693-9744
Ph: (937) 544-2269 | Judith Ann Fulton, FNP
130 Wayne Frye Dr,
Manchester, OH 45144-9314
Ph: (937) 549-1270 |
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