Dr Dominic Edward Fullenkamp, MD - Medicare Cardiovascular Disease (cardiology) in Chicago, IL

Dr Dominic Edward Fullenkamp, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Chicago, Illinois. He went to Northwestern University Feinberg Medical School and graduated in 2014 and has 10 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Northwestern Medical Faculty Foundation and his current practice location is 251 E Huron St, Galter 3-150, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (312) 926-2000.

Dr Dominic Edward Fullenkamp is licensed to practice in Illinois (license number 036141808) 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 1356769236.

Contact Information

Dr Dominic Edward Fullenkamp, MD
251 E Huron St, Galter 3-150,
Chicago, IL 60611-2908
(312) 926-2000
Not Available



Physician's Profile

Full NameDr Dominic Edward Fullenkamp
GenderMale
SpecialityCardiovascular Disease (cardiology)
Experience10 Years
Location251 E Huron St, Chicago, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Dominic Edward Fullenkamp attended and graduated from Northwestern University Feinberg Medical School in 2014
  NPI Data:
  • NPI Number: 1356769236
  • Provider Enumeration Date: 03/28/2014
  • Last Update Date: 01/14/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 2567751530
  • Enrollment ID: I20210609001648

Medical Identifiers

Medical identifiers for Dr Dominic Edward Fullenkamp such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356769236NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease 036141808 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northwestern Memorial HospitalChicago, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northwestern Medical Faculty Foundation45875768143255

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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 Dominic Edward Fullenkamp allows following entities to bill medicare on his behalf.
Entity NameNorthwestern Medical Faculty Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346235314
PECOS PAC ID: 4587576814
Enrollment ID: O20031105000541

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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 Dominic Edward Fullenkamp 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 AddressPractice Location Address
Dr Dominic Edward Fullenkamp, MD
251 E Huron St, Galter 3-150,
Chicago, IL 60611-2908

Ph: (312) 926-2000
Dr Dominic Edward Fullenkamp, MD
251 E Huron St, Galter 3-150,
Chicago, IL 60611-2908

Ph: (312) 926-2000

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Internal Medicine Doctors in Chicago, IL

Dr. Sorin C Danciu, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 3134 N Clark St, Chicago, IL 60657
Phone: 773-880-9722    
Anoopa A. Koshy, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 259 E Erie St Ste 2200, Chicago, IL 60611
Phone: 312-926-6000    
William Edmond Gerardi, M.D.
Cardiovascular Disease
Medicare: Not Enrolled in Medicare
Practice Location: 3730 N Lake Shore Dr, Apartment 2a, Chicago, IL 60613
Phone: 773-244-3060    
Suparna Dutta, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1700 W Van Buren St, Suite 500, Chicago, IL 60612
Phone: 312-942-4200    Fax: 312-942-3568
Alexandra Dumitrescu,
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 5841 S Maryland Ave, Chicago, IL 60637
Phone: 888-824-0200    
Dr. Mitesh Mahesh Kabadi, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1725 W Harrison St Ste 1159, Chicago, IL 60612
Phone: 312-942-5020    
Dr. Marta Batus, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1725 W Harrison St, Suite 809, Chicago, IL 60612
Phone: 312-563-2487    Fax: 312-942-3192

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