Brandi K Fulgham, MCP, LPC is a medicare enrolled "Counselor" provider in Cherokee, Oklahoma. Her current practice location is
405 S Oklahoma Ave, Cherokee, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(580) 596-2800.
Brandi K Fulgham is licensed to practice in Oklahoma (license number 3694) 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 1346577830.
Healthcare Provider's Profile
| Full Name | Brandi K Fulgham |
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| Gender | Female |
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| Speciality | Counselor |
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| Location | 405 S Oklahoma Ave, Cherokee, Oklahoma |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1346577830
- Provider Enumeration Date: 11/04/2009
- Last Update Date: 07/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 7618316308
- Enrollment ID: I20240415000711
Medical Identifiers
Medical identifiers for Brandi K Fulgham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346577830 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | 3694 (Oklahoma) | Primary |
| 101YP2500X | Counselor - Professional | 3694 (Oklahoma) | Secondary |
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. Brandi K Fulgham allows following entities to bill medicare on her behalf.
| Entity Name | Great Salt Plains Health Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881876738
PECOS PAC ID: 9133201171
Enrollment ID: O20080811000366 |
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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. Brandi K 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 |
|---|
Brandi K Fulgham, MCP, LPC
405 S Oklahoma Ave,
Cherokee, OK 73728-2545
Ph: (580) 596-2800 | Brandi K Fulgham, MCP, LPC
405 S Oklahoma Ave,
Cherokee, OK 73728-2545
Ph: (580) 596-2800 |
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