DOMINIQUE NOELLE FULK OD
NPI 1073362190
Optometrist in Pikeville, KY
About Dominique Noelle Fulk Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOMINIQUE NOELLE FULK OD (NPI 1073362190) is an individual optometrist in Pikeville, Kentucky, licensed in Kentucky (2377DT) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, is affiliated with Pikeville Medical Center, and is a graduate of University Of Pikeville, Kentucky College Of Osteopathic Med (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dominique Noelle Fulk Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Dominique Fulk reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pikeville, KY 41501
- Reassigned Medicare billing, Kentucky enrollment
- 32 clinicians in this Medicare group
Pikeville, KY 41501
- Reassigned Medicare billing, Kentucky enrollment
- 579 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Pikeville Medical Center
Acute Care Hospitals · Pikeville, KYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 41501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Dominique Fulk's NPI number?
The NPI number for Dominique Fulk is 1073362190. It was assigned to this individual provider in the NPPES registry on May 13, 2024.
Where is Dominique Fulk located?
Dominique Fulk practices at 147 Sycamore St Ofc 401B, Pikeville, KY 41501. The listed phone number is (606) 218-5836.
What is Dominique Fulk's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Dominique Fulk enrolled in Medicare?
Yes. Dominique Fulk is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Dominique Fulk's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dominique Fulk reassigns Medicare benefits to 2 organizations: University Of Pikeville (Pikeville, KY) and Pikeville Medical Center Inc. (Pikeville, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dominique Fulk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dominique Fulk accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Dominique Fulk as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Dominique Fulk affiliated with any hospitals?
According to CMS data, Dominique Fulk is affiliated with Pikeville Medical Center.
When was this NPI record last updated?
The NPPES record for Dominique Fulk was last updated on May 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dominique Noelle Fulk, OD · NPI 1073362190
Optometrist provider in Pikeville, Kentucky. Individual provider, active in the CMS NPPES registry since May 13, 2024.
## Identity
- **NPI:** 1073362190 (Entity type: Individual)
- **Enumerated:** May 13, 2024
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 2377DT (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 147 SYCAMORE ST OFC 401B, Pikeville, KY 41501-9118
- **Phone:** (606) 218-5836
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): University Of Pikeville (NPI 1841657947, Pikeville, KY); Pikeville Medical Center Inc. (NPI 1528195864, Pikeville, KY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Pikeville, Kentucky College Of Osteopathic Med, class of 2022
## Record status
- **NPPES last updated:** May 13, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1073362190) · Data from the CMS NPPES public registry.