Ellen Fulk, SLP in Evansville, IN - Medicare Speech-Language Pathologist Provider

Ellen Fulk, SLP is a medicare enrolled "Speech-language Pathologist" provider in Evansville, Indiana. Her current practice location is 14020 Old State Rd Ste D100, Evansville, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 469-4770.

Ellen Fulk is licensed to practice in Indiana (license number 22006633A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1720530124.

Contact Information

	Ellen Fulk, SLP
	14020 Old State Rd Ste D100, Evansville, IN 47725-1164
	(812) 469-4770
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ellen Fulk
Gender	Female
Speciality	Speech-language Pathologist
Location	14020 Old State Rd Ste D100, Evansville, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720530124
Provider Enumeration Date: 11/01/2016
Last Update Date: 04/06/2021

Medicare PECOS Information:

PECOS PAC ID: 3870866825
Enrollment ID: I20170913002387

Medical Identifiers

Medical identifiers for Ellen Fulk such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720530124	NPI	-	NPPES
PENDING	Other		PENDING

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	22006633A (Indiana)	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. Ellen Fulk allows following entities to bill medicare on her behalf.

Provider Name	St Marys Health Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1497706287 PECOS PAC ID: 9133023898 Enrollment ID: O20031124000522

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. Ellen Fulk 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
Ellen Fulk, SLP 5927 Reliable Pwy, Chicago, IL 60686-0001 Ph: () -	Ellen Fulk, SLP 14020 Old State Rd Ste D100, Evansville, IN 47725-1164 Ph: (812) 469-4770

Reviews and Comments

Speech-Language Pathologist in Evansville, IN

Jennifer Holmes, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3701 Bellemeade Ave, Evansville, IN 47714 Phone: 812-479-1441
Joan Smith Kuhn, MS CCC SLP SPEECH LA Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2425 Highway 41 N, Suite 302, Evansville, IN 47711 Phone: 812-306-4776
Kimberly Sue Walker, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 701 Se Riverside Dr, Evansville, IN 47713 Phone: 812-491-9861
Jamie Allen, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3700 Washington Ave, Evansville, IN 47750 Phone: 812-485-5603
Sarah Walden, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4900 Shamrock Dr, Suites 100-102, Evansville, IN 47715 Phone: 812-479-7337
Sarah Miller, M.S., CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3700 Washington Ave, Evansville, IN 47714 Phone: 812-485-4525
Courtney Weedman, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4900 Shamrock Dr Ste 100-102, Evansville, IN 47715 Phone: 812-479-7337 Fax: 812-550-1990

Ellen Fulk, SLP - Medicare Speech-Language Pathologist in Evansville, IN