David A Fullenkamp, OD in Portland, IN - Medicare Optometry Provider

David A Fullenkamp, OD is a medicare enrolled "Optometrist" provider in Portland, Indiana. He graduated from medical school in 1985 and has 39 years of diverse experience with area of expertise as Optometry. He is a member of the group practice David A. Fullenkamp, O.d., P.c. and his current practice location is 1111 N Meridian St, Portland, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 726-4210.

David A Fullenkamp is licensed to practice in Indiana (license number 18002167A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1043297625.

Contact Information

	David A Fullenkamp, OD
	1111 N Meridian St, Portland, IN 47371-1024
	(260) 726-4210
	(260) 726-9347

Map and Direction

Healthcare Provider's Profile

Full Name	David A Fullenkamp
Gender	Male
Speciality	Optometry
Experience	39 Years
Location	1111 N Meridian St, Portland, Indiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

David A Fullenkamp graduated from medical school in 1985

NPI Data:

NPI Number: 1043297625
Provider Enumeration Date: 12/27/2005
Last Update Date: 11/24/2009

Medicare PECOS Information:

PECOS PAC ID: 2466355433
Enrollment ID: I20060330000674

Medical Identifiers

Medical identifiers for David A Fullenkamp such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043297625	NPI	-	NPPES
100147120	Medicaid	IN
2090544	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	18002167A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
David A. Fullenkamp, O.d., P.c.	0547308033	2

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. David A Fullenkamp allows following entities to bill medicare on his behalf.

Provider Name	David A. Fullenkamp, O.d., P.c.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1346479284 PECOS PAC ID: 0547308033 Enrollment ID: O20091103000348

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. David A Fullenkamp 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
David A Fullenkamp, OD Po Box 1268, Portland, IN 47371-3268 Ph: (260) 726-4210	David A Fullenkamp, OD 1111 N Meridian St, Portland, IN 47371-1024 Ph: (260) 726-4210

Reviews and Comments

Optometrist in Portland, IN

David A. Fullenkamp, O.d., P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 1111 N Meridian St, Portland, IN 47371 Phone: 260-726-5161
Dr. Abby Elizabeth Small, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1111 N Meridian St, Portland, IN 47371 Phone: 260-726-4210 Fax: 260-726-9347
Portland Eye Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1111 N Meridian St, Portland, IN 47371 Phone: 260-726-4210 Fax: 260-726-9347

David A Fullenkamp, OD - Medicare Optometrist in Portland, IN