Dr Kimberly A Fuller, LISW-S in Cleveland, OH - Medicare Social Worker Provider

Dr Kimberly A Fuller, LISW-S is a medicare enrolled "Social Worker - Clinical" provider in Cleveland, Ohio. Her current practice location is 3500 Lorain Ave Ste 300, Cleveland, Ohio. You can reach out to her office (for appointments etc.) via phone at (216) 250-1607.

Dr Kimberly A Fuller is licensed to practice in Ohio (license number S.1200645) 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 1083053375.

Contact Information

	Dr Kimberly A Fuller, LISW-S
	3500 Lorain Ave Ste 300, Cleveland, OH 44113-3726
	(216) 250-1607
	(216) 304-6669

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kimberly A Fuller
Gender	Female
Speciality	Social Worker - Clinical
Location	3500 Lorain Ave Ste 300, Cleveland, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083053375
Provider Enumeration Date: 06/19/2013
Last Update Date: 08/05/2022

Medicare PECOS Information:

PECOS PAC ID: 0648497198
Enrollment ID: I20140807001001

Medical Identifiers

Medical identifiers for Dr Kimberly A Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083053375	NPI	-	NPPES
2871101	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	S.1200645 (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. Dr Kimberly A Fuller allows following entities to bill medicare on her behalf.

Entity Name	Psychological & Behavioral Consultants Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811915713 PECOS PAC ID: 0446243760 Enrollment ID: O20040405000363

Entity Name	Cleveland Sex & Intimacy Counseling
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982203246 PECOS PAC ID: 5890196968 Enrollment ID: O20210625002716

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. Dr Kimberly A 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
Dr Kimberly A Fuller, LISW-S 3500 Lorain Ave Ste 300, Cleveland, OH 44113-3726 Ph: (216) 250-1607	Dr Kimberly A Fuller, LISW-S 3500 Lorain Ave Ste 300, Cleveland, OH 44113-3726 Ph: (216) 250-1607

Reviews and Comments

Social Worker in Cleveland, OH

Claudette M Williams, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5500 S Marginal Rd, Cleveland, OH 44103 Phone: 216-221-7588
Sherah Y Newman, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12201 Euclid Ave, Cleveland, OH 44106 Phone: 216-707-3469 Fax: 216-707-3529
Jacqueline H Goodin, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3430 Rocky River Dr, Cleveland, OH 44111 Phone: 216-688-1111 Fax: 216-251-2886
Ms. Heather Ross, MSSA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13705 Shaker Blvd., Cleveland, OH 44120 Phone: 216-570-7314
Jillian Bertoncin, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11801 Buckeye Rd, Cleveland, OH 44120 Phone: 216-831-2255 Fax: 216-378-3906
Mrs. Mervat M Khafaga, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4115 Bridge Ave, Cleveland, OH 44113 Phone: 216-631-5800 Fax: 216-631-4595
Ruth Sudilovsky-pecha, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 526 Superior Ave E, #1400, Cleveland, OH 44114 Phone: 216-619-6194

Dr Kimberly A Fuller, LISW-S - Medicare Clinical Social Worker in Cleveland, OH