Paul Fulghum Od Pa in Jacksonville, FL - Medicare Optometrist Provider

Paul Fulghum Od Pa is a medicare enrolled "Optometrist" provider in Jacksonville, Florida. Their current practice location is 4225 Lakeside Dr, Jacksonville, Florida. You can reach out to their office (for appointments etc.) via phone at (904) 387-5704.

Paul Fulghum Od Pa is licensed to practice in Florida (license number OPC1834) and it also participates in the medicare program. Paul Fulghum Od Pa is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1861644379.

Contact Information

	Paul Fulghum Od Pa
	4225 Lakeside Dr, Jacksonville, FL 32210-3305
	(904) 387-5704
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Paul Fulghum Od Pa
Type	Facility
Speciality	Optometrist
Location	4225 Lakeside Dr, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861644379
Provider Enumeration Date: 10/15/2008
Last Update Date: 11/03/2010

Medicare PECOS Information:

PECOS PAC ID: 4688867716
Enrollment ID: O20101021001070

Medical Identifiers

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

Identifier	Type	State	Issuer
1861644379	NPI	-	NPPES
086592300	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	OPC1834 (Florida)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Paul Fulghum Od Pa acts as a billing entity for following providers:

Provider Name	Paul Thomas Fulghum
Provider Type	Practitioner - Optometry
Provider Identifiers	NPI Number: 1962436121 PECOS PAC ID: 5597958629 Enrollment ID: I20101025000735

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 Od Pa 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