Burton Fullmer, LPC in Salt Lake City, UT - Medicare Counselor Provider

Burton Fullmer, LPC is a medicare enrolled "Counselor - Mental Health" provider in Salt Lake City, Utah. His current practice location is 5689 S Redwood Rd, Suite 30, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 268-1715.

Burton Fullmer is licensed to practice in Utah (license number 3785956004) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1295087112.

Contact Information

	Burton Fullmer, LPC
	5689 S Redwood Rd, Suite 30, Salt Lake City, UT 84123-5447
	(801) 268-1715
	(801) 268-1783

Map and Direction

Healthcare Provider's Profile

Full Name	Burton Fullmer
Gender	Male
Speciality	Counselor - Mental Health
Location	5689 S Redwood Rd, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295087112
Provider Enumeration Date: 10/03/2012
Last Update Date: 10/03/2012

Medicare PECOS Information:

PECOS PAC ID: 0547611998
Enrollment ID: I20240110000837

Medical Identifiers

Medical identifiers for Burton Fullmer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295087112	NPI	-	NPPES
3785956004	Other	UT	PROFESSIONAL LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	3785956004 (Utah)	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. Burton Fullmer allows following entities to bill medicare on his behalf.

Entity Name	Deborah A Christensen Phd & Associates, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891955936 PECOS PAC ID: 6901891498 Enrollment ID: O20040415000323

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. Burton Fullmer 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
Burton Fullmer, LPC 5689 S Redwood Rd, Suite 30, Salt Lake City, UT 84123-5447 Ph: (801) 268-1715	Burton Fullmer, LPC 5689 S Redwood Rd, Suite 30, Salt Lake City, UT 84123-5447 Ph: (801) 268-1715

Reviews and Comments

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Burton Fullmer, LPC - Medicare Counselor in Salt Lake City, UT