Brian C Fulks, MD in Pocatello, ID - Medicare Pediatrics

Brian C Fulks, MD is a medicare enrolled "Pediatrics" physician in Pocatello, Idaho. His current practice location is 1151 Hospital Way, Bldg F, Pocatello, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 232-1443.

Brian C Fulks is licensed to practice in Idaho (license number M-10672) 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 1730367517.

Contact Information

	Brian C Fulks, MD
	1151 Hospital Way, Bldg F, Pocatello, ID 83201
	(208) 232-1443
	(208) 239-3434

Physician's Profile

Full Name	Brian C Fulks
Gender	Male
Speciality	Pediatrics
Location	1151 Hospital Way, Pocatello, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730367517
Provider Enumeration Date: 02/04/2008
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 0244429504
Enrollment ID: I20170912002067

Medical Identifiers

Medical identifiers for Brian C Fulks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730367517	NPI	-	NPPES
808342900	Medicaid	ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	M-10672 (Idaho)	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. Brian C Fulks 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
Brian C Fulks, MD 1151 Hospital Way, Bldg F, Pocatello, ID 83201 Ph: (208) 232-1443	Brian C Fulks, MD 1151 Hospital Way, Bldg F, Pocatello, ID 83201 Ph: (208) 232-1443

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Pediatrics Doctors in Pocatello, ID

Dr. Don E Mcinturff, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1151 Hospital Way, Building F, Pocatello, ID 83201 Phone: 208-232-1443 Fax: 208-239-3434
Christian Carter Yost, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 950 Hospital Way Ste A, Pocatello, ID 83201 Phone: 208-233-7337 Fax: 208-235-1839
Dr. Roger W. Boe, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 405 W Whitman St, Pocatello, ID 83204 Phone: 208-233-6833
Alison Marie Mcinturff, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1151 Hospital Way Bldg F, Pocatello, ID 83201 Phone: 208-232-1443
Andrea Lewis Swenson, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1110 Call Creek Dr Ste 7, Pocatello, ID 83201 Phone: 208-233-4660 Fax: 208-233-4262
Dr. Matthew Ayers Murdoch, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1151 Hospital Way, Building F, Pocatello, ID 83201 Phone: 208-232-1443 Fax: 208-239-3434
Dr. Gregory Daniel Kostur, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 500 S 11th Ave Ste 204, Pocatello, ID 83201 Phone: 208-232-3355 Fax: 855-230-7350

Brian C Fulks, MD - Medicare Pediatrics in Pocatello, ID