Mrs Esonija Shavon Fulgham, LCSW-C, ABD in Gaithersburg, MD

Mrs Esonija Shavon Fulgham, LCSW-C, ABD is a medicare enrolled "Social Worker - Clinical" provider in Gaithersburg, Maryland. Her current practice location is 8929 Shady Grove Ct, Gaithersburg, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 972-9465.

Mrs Esonija Shavon Fulgham is licensed to practice in Maryland (license number 18748) 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 1346674140.

Contact Information

	Mrs Esonija Shavon Fulgham, LCSW-C, ABD
	8929 Shady Grove Ct, Gaithersburg, MD 20877-1308
	(410) 972-9465
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Esonija Shavon Fulgham
Gender	Female
Speciality	Social Worker - Clinical
Location	8929 Shady Grove Ct, Gaithersburg, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346674140
Provider Enumeration Date: 08/28/2013
Last Update Date: 05/29/2024

Medicare PECOS Information:

PECOS PAC ID: 6901177039
Enrollment ID: I20190307001558

Medical Identifiers

Medical identifiers for Mrs Esonija Shavon Fulgham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346674140	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	18748 (Maryland)	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. Mrs Esonija Shavon Fulgham allows following entities to bill medicare on her behalf.

Entity Name	Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952461816 PECOS PAC ID: 3779495858 Enrollment ID: O20040105000308

Entity Name	Thrive Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20180531001919

Entity Name	District Healthcare Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366939225 PECOS PAC ID: 2163852146 Enrollment ID: O20200414002888

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. Mrs Esonija Shavon Fulgham 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
Mrs Esonija Shavon Fulgham, LCSW-C, ABD 8929 Shady Grove Ct, Gaithersburg, MD 20877-1308 Ph: (410) 972-9465	Mrs Esonija Shavon Fulgham, LCSW-C, ABD 8929 Shady Grove Ct, Gaithersburg, MD 20877-1308 Ph: (410) 972-9465

Reviews and Comments

Social Worker in Gaithersburg, MD

Nicole Beane, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 301 Inspiration Ln Fl 2, Gaithersburg, MD 20878 Phone: 240-252-3349
Jennifer Torres, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 60 Market St Ste 213, Gaithersburg, MD 20878 Phone: 240-248-9626
Ms. Linda M. Kaplan, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 933 Russell Ave Ste D, Gaithersburg, MD 20879 Phone: 301-869-6200
Arezou Ariane Djavan, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 610 E Diamond Ave, Gaithersburg, MD 20877 Phone: 301-840-3200
Veronica Tunon, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 610 E Diamond Ave, Gaithersburg, MD 20877 Phone: 301-840-3200
Ms. Dayle Sterman, LCSW-C Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 250 Decoverly Dr Unit 228, Gaithersburg, MD 20878 Phone: 301-947-0333
Ms. Trena Ann Merrill, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 822 Quince Orchard Boulevard, #t2, Gaithersburg, MD 20878 Phone: 301-963-4615

Mrs Esonija Shavon Fulgham, LCSW-C, ABD - Medicare Clinical Social Worker in Gaithersburg, MD