MANHATTAN NURSING AND REHABILITATION CENTER 4540 MANHATTAN RD
JACKSON, MS 39206 US PECOS Enrolled
Overview
Todd L Fulcher is a Family Medicine Physician in the JACKSON area. Todd L Fulcher primary office location is at MANHATTAN NURSING AND REHABILITATION CENTER and new patients are welcome to contact this healthcare provider for an appointment.
Todd L Fulcher is affiliated with eighteen hospitals in the JACKSON area, including . The NPI number is 1124097191 and the information was updated approximately 2 years ago.
Todd L Fulcher is affiliated with one medical group in the JACKSON area, COGENT HEALTHCARE OF DECATUR, LLC.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: YES
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 12503 | MS |
| Type/Issuer | Identifier | State |
|---|---|---|
| TRICARE | 753068151002 | MS |
| RR MEDICARE | P00061664 | MS |
| MS PHYSICIANS CARE NETWOR | 753068151 | MS |
| US DEPT OF LABOR | 168390700 | MS |
| MS HEALTH PARTNERS | 75306815 | MS |
| UHC | 753068151 | MS |
| MEDICAID | 00111649 | MS |
| 1ST CHOICE | 753068151 | MS |
| AETNA | 4554283 | MS |
| Taxonomy | State | Primary? |
|---|---|---|
| Family Medicine Physician - Taxonomy Code 207Q00000X | MS | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20040220000250 |
| PECOS Individual PAC ID: | 5092600742 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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