Dr James Elton Fullwood Jr, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Pittsfield, Maine. He graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Sebasticook Valley Health and his current practice location is
447 N Main St, Pittsfield, Maine. You can reach out to his office (for appointments etc.) via phone at
(207) 487-6455.
Dr James Elton Fullwood Jr is licensed to practice in Maine (license number POD 1088) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1184936643.
Healthcare Provider's Profile
| Full Name | Dr James Elton Fullwood Jr |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 14 Years |
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| Location | 447 N Main St, Pittsfield, Maine |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr James Elton Fullwood Jr graduated from medical school in 2010
NPI Data:
- NPI Number: 1184936643
- Provider Enumeration Date: 07/12/2010
- Last Update Date: 07/29/2013
Medicare PECOS Information:
- PECOS PAC ID: 1759525835
- Enrollment ID: I20130911000026
Medical Identifiers
Medical identifiers for Dr James Elton Fullwood Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1184936643 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213ES0103X | Podiatrist - Foot & Ankle Surgery | POD 1088 (Maine) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Sebasticook Valley Health | 3476462797 | 34 |
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. Dr James Elton Fullwood Jr allows following entities to bill medicare on his behalf.
| Provider Name | Sebasticook Valley Health |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1457461477
PECOS PAC ID: 3476462797
Enrollment ID: O20040513001197 |
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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. Dr James Elton Fullwood Jr 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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Dr James Elton Fullwood Jr, DPM
447 N Main St,
Pittsfield, ME 04967-3707
Ph: (207) 487-6455 | Dr James Elton Fullwood Jr, DPM
447 N Main St,
Pittsfield, ME 04967-3707
Ph: (207) 487-6455 |
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