Shelly Fulford Wilson, LCSW - Medicare Clinical Social Worker in Fernandina Beach, FL

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Shelly Fulford Wilson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Fernandina Beach, Florida. Her current practice location is 2127 Blue Heron Ct, Fernandina Beach, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 206-1028.

Shelly Fulford Wilson is licensed to practice in Florida (license number SW10273) 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 1295461648.

Contact Information

Shelly Fulford Wilson, LCSW
2127 Blue Heron Ct,
Fernandina Beach, FL 32034-4475
(904) 206-1028
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameShelly Fulford Wilson
GenderFemale
SpecialitySocial Worker - Clinical
Location2127 Blue Heron Ct, Fernandina Beach, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295461648
  • Provider Enumeration Date: 07/28/2022
  • Last Update Date: 07/28/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1456796051
  • Enrollment ID: I20240305000775

Medical Identifiers

Medical identifiers for Shelly Fulford Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295461648NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical SW10273 (Florida)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. Shelly Fulford Wilson allows following entities to bill medicare on her behalf.
Entity NameGrow Healthcare Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20210414000053

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. Shelly Fulford Wilson 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 AddressPractice Location Address
Shelly Fulford Wilson, LCSW
2127 Blue Heron Ct,
Fernandina Beach, FL 32034-4475

Ph: (904) 206-1028		Shelly Fulford Wilson, LCSW
2127 Blue Heron Ct,
Fernandina Beach, FL 32034-4475

Ph: (904) 206-1028

Reviews and Comments


Social Worker in Fernandina Beach, FL

Melissa Kenner, LCSW, LMSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 1865 Lime St Ste 100, Fernandina Beach, FL 32034
Phone: 904-321-8400    Fax: 904-321-8401
Ms. Alana Woods, LCSW
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Medicare: Not Enrolled in Medicare
Practice Location: 1445 Sadler Rd # 1001, Fernandina Beach, FL 32034
Phone: 850-270-7166    
Megan C Ienaro, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 501 Centre St Ste 114, Fernandina Beach, FL 32034
Phone: 904-321-7351    
Jessica Packard, MSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 94177 Goodwood Dr, Fernandina Beach, FL 32034
Phone: 509-845-1029    
Mrs. Alissa Meadow Myatt, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 49 Marsh Creek Rd, Fernandina Beach, FL 32034
Phone: 805-559-8889    
Robin Albright Norton, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 96029 Brady Point Rd, Fernandina Beach, FL 32034
Phone: 410-236-3067    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.