Madeline Fullerton, OD in Roxbury, MA - Medicare Optometry Provider

Madeline Fullerton, OD is a medicare enrolled "Optometrist" provider in Roxbury, Massachusetts. She went to New England College Of Optometry and graduated in 2021 and has 3 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Ophthalmic Consultants Of Boston Inc and her current practice location is 45 Dimock St, Roxbury, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 442-8800.

Madeline Fullerton is licensed to practice in Massachusetts (license number 5475) 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 1528732500.

Contact Information

	Madeline Fullerton, OD
	45 Dimock St, Roxbury, MA 02119-1208
	(617) 442-8800
	(617) 427-4566

Map and Direction

Healthcare Provider's Profile

Full Name	Madeline Fullerton
Gender	Female
Speciality	Optometry
Experience	3 Years
Location	45 Dimock St, Roxbury, Massachusetts
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Madeline Fullerton attended and graduated from New England College Of Optometry in 2021

NPI Data:

NPI Number: 1528732500
Provider Enumeration Date: 08/04/2021
Last Update Date: 08/04/2021

Medicare PECOS Information:

PECOS PAC ID: 2365847050
Enrollment ID: I20210818001697

Medical Identifiers

Medical identifiers for Madeline Fullerton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528732500	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	5475 (Massachusetts)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ophthalmic Consultants Of Boston Inc	4789651498	71

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. Madeline Fullerton allows following entities to bill medicare on her behalf.

Provider Name	Dimock Community Health Center Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1588719488 PECOS PAC ID: 7012810492 Enrollment ID: O20040202000242

Provider Name	Ophthalmic Consultants Of Boston Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1932146594 PECOS PAC ID: 4789651498 Enrollment ID: O20040913001012

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. Madeline Fullerton 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
Madeline Fullerton, OD 55 Dimock St, Roxbury, MA 02119-1029 Ph: (617) 442-8800	Madeline Fullerton, OD 45 Dimock St, Roxbury, MA 02119-1208 Ph: (617) 442-8800

Reviews and Comments

Optometrist in Roxbury, MA

Hoda Hamed, OD Optometrist Medicare: Medicare Enrolled Practice Location: 45 Dimock St, Roxbury, MA 02119 Phone: 617-442-8800 Fax: 617-427-4566
Gallery Eyecare, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2304 Washington St, Roxbury, MA 02119 Phone: 617-202-9650 Fax: 617-516-8212
Kristen Leigh Kerber, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 45 Dimock St, Roxbury, MA 02119 Phone: 617-442-8800 Fax: 617-427-4566
Carolina Gomez-angulo, OD Optometrist Medicare: Medicare Enrolled Practice Location: 45 Dimock St, Roxbury, MA 02119 Phone: 617-442-8800 Fax: 617-427-4566
Gallery Eyecare, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2304 Washington St, Roxbury, MA 02119 Phone: 617-202-9650 Fax: 617-202-9651
Tiffany Zhang, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 45 Dimock St, Roxbury, MA 02119 Phone: 617-442-8800

Madeline Fullerton, OD - Medicare Optometrist in Roxbury, MA