Tessa Fultz, LICSW is a medicare enrolled "Social Worker" provider in Farmington, Minnesota. Her current practice location is
408 3rd St Ste 107, Farmington, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(651) 252-4025.
Tessa Fultz is licensed to practice in Minnesota (license number 26216) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1568968204.
Healthcare Provider's Profile
Full Name | Tessa Fultz |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 408 3rd St Ste 107, Farmington, Minnesota |
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Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Tessa Fultz attended and graduated from in
NPI Data:
- NPI Number: 1568968204
- Provider Enumeration Date: 04/02/2018
- Last Update Date: 10/15/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Tessa Fultz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568968204 | NPI | - | NPPES |
1780389189 | Other | MN | NPI 2 |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
104100000X | Social Worker | 26216 (Minnesota) | 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. Tessa Fultz 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 |
Tessa Fultz, LICSW 408 3rd St Ste 107, Farmington, MN 55024-1355 Ph: (507) 649-2507 | Tessa Fultz, LICSW 408 3rd St Ste 107, Farmington, MN 55024-1355 Ph: (651) 252-4025 |
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