Ciarra N Fuller, LMSW in Chubbuck, ID - Medicare Social Worker Provider

Ciarra N Fuller, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Chubbuck, Idaho. Her current practice location is 210 W Burnside Ave Ste A, Chubbuck, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 238-9000.

Ciarra N Fuller is licensed to practice in Idaho (license number LMSW-40893) 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 1265101927.

Contact Information

	Ciarra N Fuller, LMSW
	210 W Burnside Ave Ste A, Chubbuck, ID 83202-4916
	(208) 238-9000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ciarra N Fuller
Gender	Female
Speciality	Social Worker - Clinical
Location	210 W Burnside Ave Ste A, Chubbuck, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265101927
Provider Enumeration Date: 09/07/2021
Last Update Date: 09/07/2021

Medicare PECOS Information:

PECOS PAC ID: 0446693725
Enrollment ID: I20240205001333

Medical Identifiers

Medical identifiers for Ciarra N Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265101927	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LMSW-40893 (Idaho)	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. Ciarra N Fuller allows following entities to bill medicare on her behalf.

Entity Name	Access Behavioral Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487700589 PECOS PAC ID: 5991860413 Enrollment ID: O20090217000751

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. Ciarra N 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
Ciarra N Fuller, LMSW 830 E Lander St, Pocatello, ID 83201-5763 Ph: (208) 740-9234	Ciarra N Fuller, LMSW 210 W Burnside Ave Ste A, Chubbuck, ID 83202-4916 Ph: (208) 238-9000

Reviews and Comments

Social Worker in Chubbuck, ID

Mr. Scott Broberg, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 265 E Chubbuck Road, Chubbuck, ID 83202 Phone: 208-237-1711 Fax: 208-237-9806
Ramona L. Medicine Horse, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 210 W Burnside Ave Ste A, Chubbuck, ID 83202 Phone: 208-238-9000
Kayla R Frandsen, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 210 W Burnside Ave Ste A, Chubbuck, ID 83202 Phone: 208-238-9000
Ms. Teresa K Belnap-hazen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 445 W Chubbuck Rd Ste C, Chubbuck, ID 83202 Phone: 208-237-0385 Fax: 208-237-0385
Steve J Mckee, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 265 E Chubbuck Rd, Chubbuck, ID 83202 Phone: 208-237-1711 Fax: 208-237-9806
Ms. Shellie Waterman, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 210 W Burnside Ave, Suite A, Chubbuck, ID 83202 Phone: 208-238-9000 Fax: 208-238-9002

Ciarra N Fuller, LMSW - Medicare Clinical Social Worker in Chubbuck, ID