Keri Ann Fulkerson, in Grand Rapids, MI - Medicare Clinical Social Worker Provider

Keri Ann Fulkerson, is a medicare enrolled "Social Worker - Clinical" provider in Grand Rapids, Michigan. She graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Life Support Llc and her current practice location is 2730 5 Mile Rd Ne, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 426-9159.

Keri Ann Fulkerson is licensed to practice in Michigan (license number 6801089887) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1770151797.

Contact Information

	Keri Ann Fulkerson,
	2730 5 Mile Rd Ne, Grand Rapids, MI 49525-6518
	(616) 426-9159
	(616) 222-0294

Map and Direction

Healthcare Provider's Profile

Full Name	Keri Ann Fulkerson
Gender	Female
Speciality	Clinical Social Worker
Experience	17 Years
Location	2730 5 Mile Rd Ne, Grand Rapids, Michigan
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Keri Ann Fulkerson graduated from medical school in 2007

NPI Data:

NPI Number: 1770151797
Provider Enumeration Date: 06/15/2021
Last Update Date: 06/15/2021

Medicare PECOS Information:

PECOS PAC ID: 6103211974
Enrollment ID: I20220314000475

Medical Identifiers

Medical identifiers for Keri Ann Fulkerson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770151797	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	6801089887 (Michigan)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Life Support Llc	8527347756	5

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. Keri Ann Fulkerson allows following entities to bill medicare on her behalf.

Entity Name	Life Support Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437518875 PECOS PAC ID: 8527347756 Enrollment ID: O20161110002703

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. Keri Ann Fulkerson 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
Keri Ann Fulkerson, 525 Greentree Ln Ne, Ada, MI 49301-9793 Ph: (616) 889-9532	Keri Ann Fulkerson, 2730 5 Mile Rd Ne, Grand Rapids, MI 49525-6518 Ph: (616) 426-9159

Reviews and Comments

Social Worker in Grand Rapids, MI

Jillian Leigh Murray, L.C.S.W Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 300 68th St Se, Grand Rapids, MI 49548 Phone: 616-455-5000
Mrs. Sarah Lynn Bylsma, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1471 Grace St Se, Grand Rapids, MI 49506 Phone: 616-913-2006 Fax: 616-913-2005
Michele A. Virva, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 75 Sheldon Blvd Se, Suite 100 And 101, Grand Rapids, MI 49503 Phone: 616-391-2420 Fax: 616-391-4425
Ashleigh Smith, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3351 Claystone St Se Ste G32, Grand Rapids, MI 49546 Phone: 510-495-0756
Diana Duarte-menendez, MSW 6851109554 Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 790 Fuller Ave Ne, Grand Rapids, MI 49503 Phone: 616-336-3909
Mrs. Rebecca Joy Back, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 300 68th St Se, Grand Rapids, MI 49548 Phone: 269-929-7342
Ms. Joanne Martha Reen, MSW, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1939 S Division Ave, Family Outreach Center, Grand Rapids, MI 49507 Phone: 616-247-3815 Fax: 616-245-0450

Keri Ann Fulkerson, - Medicare Clinical Social Worker in Grand Rapids, MI