Mrs Kimothy Ann Fulk, APN NP C in Lawrenceville, IL

Mrs Kimothy Ann Fulk, APN NP C is a medicare enrolled "Nurse Practitioner - Adult Health" in Lawrenceville, Illinois. Her current practice location is 11020 State Route 250, Lawrenceville, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 943-2609.

Mrs Kimothy Ann Fulk is licensed to practice in Illinois (license number 209005713) 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 1770515728.

Contact Information

	Mrs Kimothy Ann Fulk, APN NP C
	11020 State Route 250, Lawrenceville, IL 62439-3379
	(618) 943-2609
	(618) 943-6409

Map and Direction

Provider's Profile

Full Name	Mrs Kimothy Ann Fulk
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	11020 State Route 250, Lawrenceville, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770515728
Provider Enumeration Date: 07/07/2006
Last Update Date: 09/09/2019

Medicare PECOS Information:

PECOS PAC ID: 6103846886
Enrollment ID: I20150511000221

Medical Identifiers

Medical identifiers for Mrs Kimothy Ann Fulk such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770515728	NPI	-	NPPES
376006178007	Medicaid	IL
731354	Other	IL	HEALTH LINK INS
5132004	Other	IL	BCBS
838915	Other		UNITED HEALTHCARE
109800	Other	IL	HEALTH ALLIANCE INS
1729885	Other		FIRST HEALTH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	209005713 (Illinois)	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. Mrs Kimothy Ann 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
Mrs Kimothy Ann Fulk, APN NP C Po Box 516, Lawrenceville, IL 62439-0516 Ph: (618) 943-2609	Mrs Kimothy Ann Fulk, APN NP C 11020 State Route 250, Lawrenceville, IL 62439-3379 Ph: (618) 943-2609

Reviews and Comments

Nurse Practitioner Nurses in Lawrenceville, IL

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Reiley Eryn Michels, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2111 Lexington Ave, Lawrenceville, IL 62439 Phone: 618-943-7214
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Tracy R Ramsey, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2111 Lexington Ave, Lawrenceville, IL 62439 Phone: 618-942-7214
Emma Ray Engel, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11741 Sizemore Ln, Lawrenceville, IL 62439 Phone: 812-881-5468
Kourtney Benson, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 102 Trim Masters Drive, Lawrenceville, IL 62439 Phone: 618-943-7900 Fax: 618-943-7901
Mrs. Tanna Lynn Mccullough, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2111 Lexington Ave, Lawrenceville, IL 62439 Phone: 618-943-7216 Fax: 618-943-7219

Mrs Kimothy Ann Fulk, APN NP C - Medicare Nurse Practitioner in Lawrenceville, IL