Anissa Lynn Fuller, LISW in Dover, OH - Medicare Social Worker Provider

Anissa Lynn Fuller, LISW is a medicare enrolled "Social Worker - Clinical" provider in Dover, Ohio. Her current practice location is 201 Hospital Dr, Dover, Ohio. You can reach out to her office (for appointments etc.) via phone at (330) 343-6631.

Anissa Lynn Fuller is licensed to practice in Ohio (license number I. 0008627) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1417123068.

Contact Information

	Anissa Lynn Fuller, LISW
	201 Hospital Dr, Dover, OH 44622-2058
	(330) 343-6631
	(330) 343-8188

Map and Direction

Healthcare Provider's Profile

Full Name	Anissa Lynn Fuller
Gender	Female
Speciality	Social Worker - Clinical
Location	201 Hospital Dr, Dover, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417123068
Provider Enumeration Date: 05/05/2008
Last Update Date: 05/05/2008

Medicare PECOS Information:

PECOS PAC ID: 1254571144
Enrollment ID: I20220712000128

Medical Identifiers

Medical identifiers for Anissa Lynn Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417123068	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	I. 0008627 (Ohio)	Primary

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. Anissa Lynn Fuller allows following entities to bill medicare on her behalf.

Entity Name	Rising Hope Counseling, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780190967 PECOS PAC ID: 3274958640 Enrollment ID: O20200731001828

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. Anissa Lynn Fuller 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 Address	Practice Location Address
Anissa Lynn Fuller, LISW 201 Hospital Dr, Dover, OH 44622-2058 Ph: (330) 343-6631	Anissa Lynn Fuller, LISW 201 Hospital Dr, Dover, OH 44622-2058 Ph: (330) 343-6631

Reviews and Comments

Social Worker in Dover, OH

Denise Garner, LISW-S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 111 Angel Dr, Dover, OH 44622 Phone: 919-909-9325
Ronald L Axt, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 201 Hospital Dr, Dover, OH 44622 Phone: 330-343-6631 Fax: 330-343-8188
Mrs. Tiffany M. Shanower, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 130 W 3rd St, Dover, OH 44622 Phone: 330-343-6600 Fax: 330-343-6405
Toni Elizabeth Rostash, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 201 Hospital Dr, Dover, OH 44622 Phone: 330-343-6631 Fax: 330-343-8188
Robert C Warsinskey, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 130 W 3rd St, Dover, OH 44622 Phone: 330-343-6600 Fax: 330-343-6405
Sandra L Lankford, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 201 Hospital Dr, Dover, OH 44622 Phone: 330-343-6631 Fax: 330-343-8188
Danielle Sotcan, MSW, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 659 Boulevard St, Dover, OH 44622 Phone: 330-343-3311 Fax: 330-365-3898

Anissa Lynn Fuller, LISW - Medicare Clinical Social Worker in Dover, OH