Amelia Fullmer, in Spanish Fork, UT - Medicare Physical Therapist Provider

Amelia Fullmer, is a medicare enrolled "Physical Therapist" provider in Spanish Fork, Utah. Her current practice location is 765 E Market Place Dr, Spanish Fork, Utah. You can reach out to her office (for appointments etc.) via phone at (385) 344-5430.

Amelia Fullmer is licensed to practice in Utah (license number 13115215-2401) 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 1225810765.

Contact Information

	Amelia Fullmer,
	765 E Market Place Dr, Spanish Fork, UT 84660-1396
	(385) 344-5430
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Amelia Fullmer
Gender	Female
Speciality	Physical Therapist
Location	765 E Market Place Dr, Spanish Fork, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225810765
Provider Enumeration Date: 10/18/2023
Last Update Date: 02/15/2024

Medicare PECOS Information:

PECOS PAC ID: 3476999871
Enrollment ID: I20240307002518

Medical Identifiers

Medical identifiers for Amelia Fullmer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225810765	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	13115215-2401 (Utah)	Primary

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. Amelia Fullmer allows following entities to bill medicare on her behalf.

Provider Name	Ihc Health Services Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1033822085 PECOS PAC ID: 1850209420 Enrollment ID: O20230627000064

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. Amelia Fullmer 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
Amelia Fullmer, Po Box 25537, Salt Lake City, UT 84125-0537 Ph: (801) 362-0803	Amelia Fullmer, 765 E Market Place Dr, Spanish Fork, UT 84660-1396 Ph: (385) 344-5430

Reviews and Comments

Physical Therapist in Spanish Fork, UT

Jason G Williams, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 77 S 400 W, Spanish Fork, UT 84660 Phone: 801-798-1626 Fax: 801-798-1236
Mrs. Allison May Jenson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 132 W Volunteer Dr B, Spanish Fork, UT 84660 Phone: 801-436-3110
Mark Jones, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 350 S Main St, Spanish Fork, UT 84660 Phone: 801-354-7416
Chantel Mitton, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 820 Expressway Ln, Spanish Fork, UT 84660 Phone: 801-794-0333
David Adam Tervort, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 820 Expressway Ln, Spanish Fork, UT 84660 Phone: 801-357-0333 Fax: 801-794-9553
Dr. Robert Mason Snow, DPT, OCS, ATC CSCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 205 N Main St, Spanish Fork, UT 84660 Phone: 801-436-3110 Fax: 801-436-3110

Amelia Fullmer, - Medicare Physical Therapist in Spanish Fork, UT