Dr Larry Elmer Fultz, PHD | |
5024 Campbell Blvd, Suite H, Baltimore, MD 21236 | |
(410) 931-9280 | |
Not Available |
Full Name | Dr Larry Elmer Fultz |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 37 Years |
Location | 5024 Campbell Blvd, Baltimore, Maryland |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164693172 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 06248 (Maryland) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
White Marsh Psychiatric Associates, Llc | 3072681105 | 9 |
Entity Name | White Marsh Psychiatric Associates, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043466147 PECOS PAC ID: 3072681105 Enrollment ID: O20081002000513 |
Mailing Address | Practice Location Address |
---|---|
Dr Larry Elmer Fultz, PHD 407 Alabama Rd, Towson, MD 21204-4308 Ph: (410) 823-1429 | Dr Larry Elmer Fultz, PHD 5024 Campbell Blvd, Suite H, Baltimore, MD 21236 Ph: (410) 931-9280 |
Ms. Angela Faith Noppenberger, LCSW-C Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2000 Girard Ave, Baltimore, MD 21211 Phone: 410-929-1596 | |
Tara Rice, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5146 Park Heights Ave, Suite 1, Baltimore, MD 21215 Phone: 410-664-6264 | |
Jennifer Pope, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10 E North Ave Ste 5, Baltimore, MD 21202 Phone: 443-310-3042 Fax: 443-652-5904 | |
Kathryn Petrarca, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 416 E 30th St, Baltimore, MD 21218 Phone: 410-889-0727 Fax: 410-889-0729 | |
Michelle Antoinette Goines, LCSW-C Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1522 N Ellamont St, Baltimore, MD 21216 Phone: 410-419-9823 | |
Melissa Franco, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6802 Mcclean Blvd, Baltimore, MD 21234 Phone: 410-444-3800 | |
Karen Burd, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4803 Yellowwood Ave, Baltimore, MD 21209 Phone: 443-613-4152 |