Miss Jennifer Fulton, PA is a medicare enrolled "Physician Assistant - Medical" in E Patchogue, New York. She graduated from nursing school in 2003 and has 21 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice New York University and her current practice location is
285 Sills Rd, E Patchogue, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 447-8300.
Miss Jennifer Fulton is licensed to practice in New York (license number 009370) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1649260357.
Provider's Profile
| Full Name | Miss Jennifer Fulton |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 21 Years |
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| Location | 285 Sills Rd, E Patchogue, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Miss Jennifer Fulton graduated from nursing school in 2003
NPI Data:
- NPI Number: 1649260357
- Provider Enumeration Date: 10/24/2005
- Last Update Date: 08/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 3971592114
- Enrollment ID: I20040511001465
Medical Identifiers
Medical identifiers for Miss Jennifer Fulton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649260357 | NPI | - | NPPES |
| 02519684 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | 009370 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| New York University | 1355232422 | 4495 |
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. Miss Jennifer 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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Miss Jennifer Fulton, PA
951 Roanoke Ave,
Riverhead, NY 11901-2724
Ph: (631) 727-7773 | Miss Jennifer Fulton, PA
285 Sills Rd,
E Patchogue, NY 11772-4869
Ph: (631) 447-8300 |
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