Paul Fulghum, OD PA in Jacksonville, FL - Medicare Optometry Provider

Paul Fulghum, OD PA is a medicare enrolled "Optometrist" provider in Jacksonville, Florida. He went to Southern College Of Optometry and graduated in 1983 and has 41 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Aeg Florida Professional Pllc and his current practice location is 4225 Lakeside Dr, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 387-5704.

Paul Fulghum is licensed to practice in Florida (license number 1834) 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 1962436121.

Contact Information

	Paul Fulghum, OD PA
	4225 Lakeside Dr, Jacksonville, FL 32210-3305
	(904) 387-5704
	(904) 387-5751

Map and Direction

Healthcare Provider's Profile

Full Name	Paul Fulghum
Gender	Male
Speciality	Optometry
Experience	41 Years
Location	4225 Lakeside Dr, Jacksonville, Florida
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:

Paul Fulghum attended and graduated from Southern College Of Optometry in 1983

NPI Data:

NPI Number: 1962436121
Provider Enumeration Date: 07/11/2006
Last Update Date: 11/29/2023

Medicare PECOS Information:

PECOS PAC ID: 5597958629
Enrollment ID: I20101025000735

Medical Identifiers

Medical identifiers for Paul Fulghum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962436121	NPI	-	NPPES
086952300	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	1834 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Aeg Florida Professional Pllc	3870960032	33

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. Paul Fulghum allows following entities to bill medicare on his behalf.

Provider Name	Paul Fulghum Od Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1861644379 PECOS PAC ID: 4688867716 Enrollment ID: O20101021001070

Provider Name	Aeg Florida Professional Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1164156246 PECOS PAC ID: 3870960032 Enrollment ID: O20221101003017

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. Paul Fulghum 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
Paul Fulghum, OD PA 4225 Lakeside Dr, Jacksonville, FL 32210-3305 Ph: (904) 387-5704	Paul Fulghum, OD PA 4225 Lakeside Dr, Jacksonville, FL 32210-3305 Ph: (904) 387-5704

Reviews and Comments

Optometrist in Jacksonville, FL

Northeast Florida Eye Care Addociates Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4413 Town Center Pkwy, Suite 207, Jacksonville, FL 32246 Phone: 904-998-9822
Dr. Sierra Marie Mattox, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4788 Hodges Blvd, Jacksonville, FL 32224 Phone: 904-992-9991
Dr. Sheila D Merritt, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9760 San Jose Blvd, Jacksonville, FL 32257 Phone: 904-268-2299
Melanie J Carvell, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5921 Collins Rd, Suite 1, Jacksonville, FL 32244 Phone: 904-777-3937 Fax: 904-777-8208
Danielle Callegari, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 9041 Southside Blvd, Jacksonville, FL 32256 Phone: 904-519-5057
Steven H Schwartz, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3 Shircliff Way, Ste 122, Jacksonville, FL 32204 Phone: 904-388-3109 Fax: 904-388-9132
Dr. Hewell Eaves, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7205 Bonneval Rd, Jacksonville, FL 32256 Phone: 904-296-0098

Paul Fulghum, OD PA - Medicare Optometrist in Jacksonville, FL