Dr Kenneth Dwayne Fulks, MD - Medicare Plastic And Reconstructive Surgery in Columbia, TN

Dr Kenneth Dwayne Fulks, MD is a medicare enrolled "Surgery - Plastic And Reconstructive Surgery" physician in Columbia, Tennessee. He graduated from medical school in 1985 and has 39 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice Maury Regional Medical Group, Inc and his current practice location is 1601 Hatcher Ln, Columbia, Tennessee. You can reach out to his office (for appointments etc.) via phone at (931) 381-2802.

Dr Kenneth Dwayne Fulks is licensed to practice in Tennessee (license number MD019595) 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 1144237751.

Contact Information

Dr Kenneth Dwayne Fulks, MD
1601 Hatcher Ln,
Columbia, TN 38401-4826
(931) 381-2802
(931) 388-0719



Physician's Profile

Full NameDr Kenneth Dwayne Fulks
GenderMale
SpecialityPlastic And Reconstructive Surgery
Experience39 Years
Location1601 Hatcher Ln, Columbia, Tennessee
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 Kenneth Dwayne Fulks graduated from medical school in 1985
  NPI Data:
  • NPI Number: 1144237751
  • Provider Enumeration Date: 08/03/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 3971637463
  • Enrollment ID: I20100819000628

Medical Identifiers

Medical identifiers for Dr Kenneth Dwayne Fulks such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144237751NPI-NPPES
3059467MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0122XSurgery - Plastic And Reconstructive Surgery MD019595 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Maury Regional HospitalColumbia, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Maury Regional Medical Group, Inc791181074297

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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 Kenneth Dwayne Fulks allows following entities to bill medicare on his behalf.
Entity NameMaury Regional Medical Group, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205886264
PECOS PAC ID: 7911810742
Enrollment ID: O20040227000252

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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 Kenneth Dwayne 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 AddressPractice Location Address
Dr Kenneth Dwayne Fulks, MD
1601 Hatcher Ln,
Columbia, TN 38401-4826

Ph: (931) 381-2802
Dr Kenneth Dwayne Fulks, MD
1601 Hatcher Ln,
Columbia, TN 38401-4826

Ph: (931) 381-2802

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Surgery Doctors in Columbia, TN

Ariel Christine O'neil, M.D.
Surgery
Medicare: Medicare Enrolled
Practice Location: 1708 Alpine Dr, Columbia, TN 38401
Phone: 931-283-6629    Fax: 605-309-8035
Dr. John P Brown, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1222 Trotwood Ave, Suite 603, Columbia, TN 38401
Phone: 931-381-9338    Fax: 931-381-9266
Dr. Amy Elizabeth Vertrees, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1708 Alpine Dr, Columbia, TN 38401
Phone: 931-283-6629    
Daniel Davidson Oxley, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1222 Trotwood Ave Ste 305, Columbia, TN 38401
Phone: 931-381-9338    Fax: 931-381-9266
Dr. John Brian Kendrick, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 832 Westover Dr Ste 200, Columbia, TN 38401
Phone: 931-380-3033    
Andrew W Sisk, M.D., F.A.C.S.
Surgery
Medicare: Medicare Enrolled
Practice Location: 1223 Trotwood Ave, Columbia, TN 38401
Phone: 931-381-4976    Fax: 931-388-0600

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