Anna R Fullmer, MSSW, LCSW in Wautoma, WI - Medicare Social Worker Provider

Anna R Fullmer, MSSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Wautoma, Wisconsin. Her current practice location is 400 S Townline Rd, Wautoma, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 787-5514.

Anna R Fullmer is licensed to practice in Wisconsin (license number 6573-123) 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 1306897467.

Contact Information

	Anna R Fullmer, MSSW, LCSW
	400 S Townline Rd, Wautoma, WI 54982-6922
	(920) 787-5514
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Anna R Fullmer
Gender	Female
Speciality	Social Worker - Clinical
Location	400 S Townline Rd, Wautoma, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306897467
Provider Enumeration Date: 05/13/2006
Last Update Date: 06/13/2024

Medicare PECOS Information:

PECOS PAC ID: 6406089671
Enrollment ID: I20140424000911

Medical Identifiers

Medical identifiers for Anna R Fullmer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306897467	NPI	-	NPPES
39797500	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	6573-123 (Wisconsin)	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. Anna R Fullmer allows following entities to bill medicare on her behalf.

Entity Name	La Clinica De Los Campesinos, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790786929 PECOS PAC ID: 8729996574 Enrollment ID: O20040806000058

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. Anna R Fullmer 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
Anna R Fullmer, MSSW, LCSW 400 S Townline Rd, Wautoma, WI 54982-6922 Ph: (920) 787-5514	Anna R Fullmer, MSSW, LCSW 400 S Townline Rd, Wautoma, WI 54982-6922 Ph: (920) 787-5514

Reviews and Comments

Social Worker in Wautoma, WI

Laurinda S Wittenhagen, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 380 S Townline Rd, Wautoma, WI 54982 Phone: 920-787-6550 Fax: 920-787-0421
Jennifer A Ward, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 380 S Townline Rd, Wautoma, WI 54982 Phone: 920-787-6618 Fax: 920-787-6670
Clara L Voigtlander, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 230 Park St, Wautoma, WI 54982 Phone: 920-787-6550 Fax: 920-787-0421
Megan Schwobe, APSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 400 S Townline Rd, Wautoma, WI 54982 Phone: 920-787-5514 Fax: 920-787-4737

Anna R Fullmer, MSSW, LCSW - Medicare Clinical Social Worker in Wautoma, WI