Jacqueline Fullam, MPT in York, PA - Medicare Physical Therapy Provider

Jacqueline Fullam, MPT is a medicare enrolled "Physical Therapist" provider in York, Pennsylvania. She graduated from medical school in 1992 and has 33 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Martin Podiatry Pc and her current practice location is 2300 Pleasant Valley Rd, York, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (717) 757-3537.

Jacqueline Fullam is licensed to practice in Pennsylvania (license number PT015090) 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 1447340724.

Contact Information

	Jacqueline Fullam, MPT
	2300 Pleasant Valley Rd, York, PA 17402-9627
	(717) 757-3537
	(717) 718-9701

Map and Direction

Healthcare Provider's Profile

Full Name	Jacqueline Fullam
Gender	Female
Speciality	Physical Therapy
Experience	33 Years
Location	2300 Pleasant Valley Rd, York, Pennsylvania
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:

Jacqueline Fullam graduated from medical school in 1992

NPI Data:

NPI Number: 1447340724
Provider Enumeration Date: 10/15/2006
Last Update Date: 05/06/2020

Medicare PECOS Information:

PECOS PAC ID: 9133218688
Enrollment ID: I20071205000575

Medical Identifiers

Medical identifiers for Jacqueline Fullam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447340724	NPI	-	NPPES
002004718	Other		GEISINGER
1514688	Other		ADVANTRA
1592146	Other		COVENTRY NATIONAL / FIRST HEALTH
002004718	Other	PA	HIGHMARK BC BS
1514688	Other		HEALTH AMERICA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT015090 (Pennsylvania)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Martin Podiatry Pc	7315922572	19

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. Jacqueline Fullam allows following entities to bill medicare on her behalf.

Provider Name	Martin Podiatry Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1447221387 PECOS PAC ID: 7315922572 Enrollment ID: O20040622000411

Provider Name	Ati Holdings Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1396781050 PECOS PAC ID: 9537112719 Enrollment ID: O20060727000214

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. Jacqueline Fullam 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
Jacqueline Fullam, MPT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: (866) 370-8206	Jacqueline Fullam, MPT 2300 Pleasant Valley Rd, York, PA 17402-9627 Ph: (717) 757-3537

Reviews and Comments

Physical Therapist in York, PA

Theresa C Rill, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2760 Pine Grove Rd, York, PA 17403 Phone: 717-741-1250
Rosemary T Prego, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1665 Roosevelt Ave, York, PA 17408 Phone: 717-848-4800
Mrs. Laura W Byrne, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1410 E Market St, York, PA 17403 Phone: 717-846-8455 Fax: 717-846-0562
Mrs. Sandra A Daw, M.S.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1855 Powder Mill Rd, York, PA 17402 Phone: 717-848-4800 Fax: 717-718-3150
Diane Marilyn Zimardo, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1575 Bannister St Ste 4, York, PA 17404 Phone: 717-812-5850
Mr. David Michael Heiland, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1855 Powder Mill Rd, York, PA 17402 Phone: 717-848-4800 Fax: 717-741-4240
Drayer Physical Therapy Institute Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1805 Loucks Rd, Suite 200, York, PA 17408 Phone: 717-764-0144 Fax: 717-764-0554

Jacqueline Fullam, MPT - Medicare Physical Therapist in York, PA