Mark P Fuller, LCSW, SAC, ICS, is a medicare enrolled "Social Worker - Clinical" provider in Keshena, Wisconsin. His current practice location is
W3275 Wolf River Road, Keshena, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(715) 799-5451.
Mark P Fuller is licensed to practice in Wisconsin (license number 3082-123) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1780859744.
Healthcare Provider's Profile
Full Name | Mark P Fuller |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | W3275 Wolf River Road, Keshena, Wisconsin |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mark P Fuller attended and graduated from in
NPI Data:
- NPI Number: 1780859744
- Provider Enumeration Date: 04/29/2008
- Last Update Date: 03/18/2016
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mark P Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780859744 | NPI | - | NPPES |
39691700 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 3082-123 (Wisconsin) | Primary |
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. Mark P 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 |
Mark P Fuller, LCSW, SAC, ICS, Po Box 970, Keshena, WI 54135-0970 Ph: (715) 799-5451 | Mark P Fuller, LCSW, SAC, ICS, W3275 Wolf River Road, Keshena, WI 54135 Ph: (715) 799-5451 |
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