Lydia Suzanne Fulton, PA-C is a medicare enrolled "Physician Assistant" in Oak Point, Texas. Her current practice location is
508 Highmoor Ct, Oak Point, Texas. You can reach out to her office (for appointments etc.) via phone at
(618) 335-0992.
Lydia Suzanne Fulton is licensed to practice in Texas (license number PA09733) 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 1407180763.
Provider's Profile
Full Name | Lydia Suzanne Fulton |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 508 Highmoor Ct, Oak Point, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1407180763
- Provider Enumeration Date: 09/18/2009
- Last Update Date: 04/17/2015
Medicare PECOS Information:
- PECOS PAC ID: 1850430240
- Enrollment ID: I20170511001418
Medical Identifiers
Medical identifiers for Lydia Suzanne Fulton such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407180763 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 22766 (California) | Secondary |
363A00000X | Physician Assistant | PA09733 (Texas) | 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. Lydia Suzanne 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 |
Lydia Suzanne Fulton, PA-C 508 Highmoor Ct, Oak Point, TX 75068-6136 Ph: (618) 335-0992 | Lydia Suzanne Fulton, PA-C 508 Highmoor Ct, Oak Point, TX 75068-6136 Ph: (618) 335-0992 |
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