Brooklyn Ruth Fulk, DPT in Mount Vernon, MO - Medicare Physical Therapist Provider

Brooklyn Ruth Fulk, DPT is a medicare enrolled "Physical Therapist" provider in Mount Vernon, Missouri. Her current practice location is 334 E Mount Vernon Blvd, Mount Vernon, Missouri. You can reach out to her office (for appointments etc.) via phone at (417) 461-0952.

Brooklyn Ruth Fulk is licensed to practice in Missouri (license number 2023034168) 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 1790509115.

Contact Information

	Brooklyn Ruth Fulk, DPT
	334 E Mount Vernon Blvd, Mount Vernon, MO 65712-2024
	(417) 461-0952
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Brooklyn Ruth Fulk
Gender	Female
Speciality	Physical Therapist
Location	334 E Mount Vernon Blvd, Mount Vernon, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790509115
Provider Enumeration Date: 11/12/2024
Last Update Date: 11/12/2024

Medicare PECOS Information:

PECOS PAC ID: 0840725271
Enrollment ID: I20241122000226

Medical Identifiers

Medical identifiers for Brooklyn Ruth Fulk such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790509115	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	2023034168 (Missouri)	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. Brooklyn Ruth Fulk allows following entities to bill medicare on her behalf.

Provider Name	Serc Rehabilitation Partners Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1760745244 PECOS PAC ID: 9830344563 Enrollment ID: O20130304000500

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. Brooklyn Ruth Fulk 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
Brooklyn Ruth Fulk, DPT 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 238-7217	Brooklyn Ruth Fulk, DPT 334 E Mount Vernon Blvd, Mount Vernon, MO 65712-2024 Ph: (417) 461-0952

Reviews and Comments

Physical Therapist in Mount Vernon, MO

School Dist Mt Vernon Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 731 S Landrum St, Mount Vernon, MO 65712 Phone: 417-466-7573 Fax: 417-466-7058
Martha Jean Rosse, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Mt Vernon School District, 731 S Landrum St, Mount Vernon, MO 65712 Phone: 417-466-7573 Fax: 417-461-5794
Miss Hazel Mae Hupeda Hofilena, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 616 N Main St, Mount Vernon, MO 65712 Phone: 417-499-1786
Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 334 E Mount Vernon Blvd, Mount Vernon, MO 65712 Phone: 417-461-0952 Fax: 417-461-0954
Eric Snow, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1600 S Hickory St, Mount Vernon, MO 65712 Phone: 417-466-7103
Daniel Brockgreitens, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 600 N Main St, Mount Vernon, MO 65712 Phone: 417-466-4000
Jenny Morgan, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 334 E Mount Vernon Blvd, Mount Vernon, MO 65712 Phone: 417-461-0952

Brooklyn Ruth Fulk, DPT - Medicare Physical Therapist in Mount Vernon, MO