Clark J Fullmer Ii, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Dickinson, North Dakota. His current practice location is
2615 Fairway St, Dickinson, North Dakota. You can reach out to his office (for appointments etc.) via phone at
(701) 456-6000.
Clark J Fullmer Ii is licensed to practice in North Dakota (license number 60) 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 1649240557.
Healthcare Provider's Profile
| Full Name | Clark J Fullmer Ii |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 2615 Fairway St, Dickinson, North Dakota |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Clark J Fullmer Ii attended and graduated from in
NPI Data:
- NPI Number: 1649240557
- Provider Enumeration Date: 01/24/2006
- Last Update Date: 08/30/2018
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Clark J Fullmer Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649240557 | NPI | - | NPPES |
| 14953 | Medicaid | ND | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 60 (North Dakota) | Primary |
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. Clark J Fullmer Ii 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 |
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Clark J Fullmer Ii, DPM
2615 Fairway St,
Dickinson, ND 58601-2590
Ph: (701) 456-6000 | Clark J Fullmer Ii, DPM
2615 Fairway St,
Dickinson, ND 58601
Ph: (701) 456-6000 |
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