Kelli Fultz, NP in Chillicothe, OH - Medicare Nurse Practitioner

Kelli Fultz, NP is a medicare enrolled "Nurse Practitioner - Family" in Chillicothe, Ohio. Her current practice location is 272 Hospital Rd, Chillicothe, Ohio. You can reach out to her office (for appointments etc.) via phone at (740) 779-4598.

Kelli Fultz is licensed to practice in Ohio (license number CNP.0033058) 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 1689389249.

Contact Information

	Kelli Fultz, NP
	272 Hospital Rd, Chillicothe, OH 45601-9031
	(740) 779-4598
	(740) 779-4599

Map and Direction

Provider's Profile

Full Name	Kelli Fultz
Gender	Female
Speciality	Nurse Practitioner - Family
Location	272 Hospital Rd, Chillicothe, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689389249
Provider Enumeration Date: 01/18/2023
Last Update Date: 02/09/2023

Medicare PECOS Information:

PECOS PAC ID: 3678946811
Enrollment ID: I20230308002802

Medical Identifiers

Medical identifiers for Kelli Fultz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689389249	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	CNP.0033058 (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. Kelli Fultz allows following entities to bill medicare on her behalf.

Entity Name	Adena Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235468083 PECOS PAC ID: 1153456579 Enrollment ID: O20100323001007

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. Kelli Fultz 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
Kelli Fultz, NP 272 Hospital Rd, Chillicothe, OH 45601-9031 Ph: (740) 779-4598	Kelli Fultz, NP 272 Hospital Rd, Chillicothe, OH 45601-9031 Ph: (740) 779-4598

Reviews and Comments

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Kelli Fultz, NP - Medicare Nurse Practitioner in Chillicothe, OH