John B Fulton, PHD in Salt Lake City, UT - Medicare Psychologist Provider

John B Fulton, PHD is a medicare enrolled "Psychologist" provider in Salt Lake City, Utah. His current practice location is 81 N Mario Capecchi Dr, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 662-5592.

John B Fulton is licensed to practice in Utah (license number 9623346-2501) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1316177967.

Contact Information

	John B Fulton, PHD
	81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125
	(801) 662-5592
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	John B Fulton
Gender	Male
Speciality	Psychologist
Location	81 N Mario Capecchi Dr, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316177967
Provider Enumeration Date: 07/16/2009
Last Update Date: 10/29/2021

Medicare PECOS Information:

PECOS PAC ID: 0446305718
Enrollment ID: I20160420002634

Medical Identifiers

Medical identifiers for John B Fulton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316177967	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	9623346-2501 (Utah)	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. John B Fulton allows following entities to bill medicare on his behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079

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. John B Fulton 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
John B Fulton, PHD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (801) 662-5592	John B Fulton, PHD 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125 Ph: (801) 662-5592

Reviews and Comments

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John B Fulton, PHD - Medicare Psychologist in Salt Lake City, UT