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John D Fulk

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NPI Number Detailed Information

Provider Information:

Name: John D Fulk
Gender: M
Provider License Number If Given: 85001126

NPI Information:

NPI: 1063419679
Entity Type
(Individual or Organization):		 1-ind
Enumeration Date: 6/29/2005
Last Update Date: 4/4/2019

Provider Business Mailing Address:

Address: 1302 FRANKLIN AVE SUITE 4800
Normal, IL 61761
Phone Number: 3094545900
Fax Number: 3094542820

Provider Business Practice Location Address:

Address: 1302 FRANKLIN AVE SUITE 4800
Normal, IL 61761
Phone Number: 3094545900
Fax Number: 3094542820

Provider Taxonomy:

Primary: 363A00000X
Secondary (if any):
State: IL

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About John D Fulk

John D Fulk ( JOHN D FULK ) is A Physician Assistant Physician in Normal, IL. The NPI Number for John D Fulk is 1063419679.
The current location address for John D Fulk is 1302 FRANKLIN AVE SUITE 4800 Normal, IL 61761 and the contact number is 3094545900 and fax number is 3094542820. The mailing address for John D Fulk is 1302 FRANKLIN AVE SUITE 4800 Normal, IL 61761- 3094545900 (mailing address contact number - 3094545900).
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Provider Business Location on Map

FAQs:

What is the NPI Number for John D Fulk ?


Answer: The NPI Number for John D Fulk is 1063419679

Where is John D Fulk located?


Answer: John D Fulk is located at 1302 FRANKLIN AVE SUITE 4800 Normal, IL 61761.

What is the specialty for John D Fulk ?


Answer: The Specialty of John D Fulk is A Physician Assistant Physician.

Are there any online reviews for John D Fulk ?


Answer: Not yet!

Are there any other health care providers in Normal, IL?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by John D Fulk

Number of HCPCS 25
Number of Medicare Beneficiaries 221
Number of Services 367
Total Submitted Charge Amount 58573.59
Total Medicare Allowed Amount 20946.66
Total Medicare Payment Amount 14417.74
Total Medicare Standardized Payment Amount 14935.8
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 4
Number of Medicare Beneficiaries With Drug Services 12
Number of Drug Services 49
Total Drug Submitted Charge Amount 1013.59
Total Drug Medicare Allowed Amount 74.54
Total Drug Medicare Payment Amount 57.56
Total Drug Medicare Standardized Payment Amount 56.43
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 21
Number of Medicare Beneficiaries With Medical 221
Number of Medical Services 318
Total Medical Submitted Charge Amount 57560
Total Medical Medicare Allowed Amount 20872.12
Total Medical Medicare Payment Amount 14360.18
Total Medical Medicare Standardized Payment Amount 14879.37
Average Age of Beneficiaries 73
Number of Beneficiaries Age Less 65 22
Number of Beneficiaries Age 65 to 74 112
Number of Beneficiaries Age 75 to 84 56
Number of Beneficiaries Age Greater 84 31
Number of Female Beneficiaries 140
Number of Male Beneficiaries 81
Number of Non-Hispanic White Beneficiaries 206
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries 0
Number of American Indian/Alaska Native Beneficiaries 0
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 20
Number of Beneficiaries With Medicare Only Entitlement 201
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.1
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.06
Percent (%) of Beneficiaries Identified With Asthma 0.06
Percent (%) of Beneficiaries Identified With Cancer 0.1
Percent (%) of Beneficiaries Identified With Heart Failure 0.16
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.26
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.1
Percent (%) of Beneficiaries Identified With Depression 0.15
Percent (%) of Beneficiaries Identified With Diabetes 0.18
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.52
Percent (%) of Beneficiaries Identified With Hypertension 0.61
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.31
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.42
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0.05
Average HCC Risk Score of Beneficiaries 0.9431

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Physician Assistant
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 286
Number of Standardized 30-Day Fills 297.03333333
Aggregate Cost Paid for All Claims 3077.26
Number of Day's Supply for All Claims 2812
Number of Medicare Beneficiaries 216
Number of Claims, Including Refills, for Beneficiaries Age 65+ 232
Including Refills, for Beneficiaries Age 65+ 243.03333333
Beneficiaries Age 65+ 2540.56
Number of Day's Supply for All Claims for Beneficaries Age 65+ 2367
Number of Medicare Beneficiaries Age 65+ 180
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 11
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 275
Aggregate Cost Paid for Generic Drugs 2629.69
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 0
Aggregate Cost Paid for Other Drugs 0
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 142
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 1319.87
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 144
Aggregate Cost Paid for Claims Filled by 1757.39
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 73
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 783.87
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 213
by Low-Income Subsidy 2293.39
Total Claims of Opioid Drugs, Including
Aggregate Cost Paid for Opioid Drugs
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms
Total Claims of Long-Acting Opioid Drugs
Aggregate Cost Paid for Long-Acting Opioid
Number of Day's Supply of All Long-Acting
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including 149
Aggregate Cost Paid for Antibiotic Drugs 1010.49
Antibiotic Claims 137
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims 0
Average Age of Beneficiaries 70.148148148
Number of Beneficiaries Age Less Than 65 36
Number of Beneficiaries Age 65 to 74 106
Number of Beneficiaries Age 75 to 84 55
Number of Female Beneficiaries 140
Number of Male Beneficiaries 76
Number of Non-Hispanic White 199
Number of Black or African American 13
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries 0
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement 173
Average Hierarchical Condition Category 0.9699405987

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John D Fulk in Other Directories

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