Nathan Thomas Fullam, DPT in West Berlin, NJ - Medicare Physical Therapy Provider

Nathan Thomas Fullam, DPT is a medicare enrolled "Physical Therapist" provider in West Berlin, New Jersey. He graduated from medical school in 2021 and has 4 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Ipta Clinical, Llc and his current practice location is 115 N Route 73 Unit 80, West Berlin, New Jersey. You can reach out to his office (for appointments etc.) via phone at (856) 335-4938.

Nathan Thomas Fullam is licensed to practice in New Jersey (license number 40QA02040500) 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 1265101935.

Contact Information

	Nathan Thomas Fullam, DPT
	115 N Route 73 Unit 80, West Berlin, NJ 08091-9202
	(856) 335-4938
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nathan Thomas Fullam
Gender	Male
Speciality	Physical Therapy
Experience	4 Years
Location	115 N Route 73 Unit 80, West Berlin, New Jersey
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:

Nathan Thomas Fullam graduated from medical school in 2021

NPI Data:

NPI Number: 1265101935
Provider Enumeration Date: 09/07/2021
Last Update Date: 09/07/2021

Medicare PECOS Information:

PECOS PAC ID: 3779981675
Enrollment ID: I20211007000408

Medical Identifiers

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

Identifier	Type	State	Issuer
1265101935	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	40QA02040500 (New Jersey)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ipta Clinical, Llc	0749456119	58

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. Nathan Thomas Fullam allows following entities to bill medicare on his behalf.

Provider Name	Ipta Clinical, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1760764484 PECOS PAC ID: 0749456119 Enrollment ID: O20120106000040

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. Nathan Thomas 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
Nathan Thomas Fullam, DPT 1225 Tristram Cir, Mantua, NJ 08051-2245 Ph: (484) 947-8823	Nathan Thomas Fullam, DPT 115 N Route 73 Unit 80, West Berlin, NJ 08091-9202 Ph: (856) 335-4938

Reviews and Comments

Physical Therapist in West Berlin, NJ

Sarah E Obuchowski, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 115 N Route 73 Unit 80, West Berlin, NJ 08091 Phone: 856-335-4938
Alyssa Hope Mcminn, PT, DPT, LAT, ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 115 N Route 73 Unit 80, West Berlin, NJ 08091 Phone: 856-335-4938
Christopher Patrick Niemann Jr., DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 91 Haddon Ave, West Berlin, NJ 08091 Phone: 267-250-0443
Dr. Benjamin R Harris, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 115 Nj-73, Unit 80, West Berlin, NJ 08091 Phone: 856-335-4938
Dr. Taylor Michelle Wittstock, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 115 N Route 73 Unit 80, West Berlin, NJ 08091 Phone: 856-335-4938
Barbara Claire Barron, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 115 N Route 73 Unit 80, West Berlin, NJ 08091 Phone: 856-335-4938

Nathan Thomas Fullam, DPT - Medicare Physical Therapist in West Berlin, NJ