Dr Mickey Joe Fuller, MA, MS, PSYD in Moab, UT

Dr Mickey Joe Fuller, MA, MS, PSYD is a medicare enrolled "Counselor - Professional" provider in Moab, Utah. His current practice location is 198 E Center St, Moab, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 259-6131.

Dr Mickey Joe Fuller is licensed to practice in Utah (license number 5329261-6010) 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 1427017573.

Contact Information

	Dr Mickey Joe Fuller, MA, MS, PSYD
	198 E Center St, Moab, UT 84532-2430
	(435) 259-6131
	(435) 259-5369

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Mickey Joe Fuller
Gender	Male
Speciality	Counselor - Professional
Location	198 E Center St, Moab, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427017573
Provider Enumeration Date: 03/18/2006
Last Update Date: 11/09/2009

Medicare PECOS Information:

PECOS PAC ID: 7911023411
Enrollment ID: I20100921001409

Medical Identifiers

Medical identifiers for Dr Mickey Joe Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427017573	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	5329261-6006 (Utah)	Secondary
101YP2500X	Counselor - Professional	5329261-6010 (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. Dr Mickey Joe Fuller allows following entities to bill medicare on his behalf.

Entity Name	Therapy Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578703468 PECOS PAC ID: 3173882065 Enrollment ID: O20180123001292

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. Dr Mickey Joe Fuller 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
Dr Mickey Joe Fuller, MA, MS, PSYD 3310 Spanish Valley Dr, Moab, UT 84532-3636 Ph: (801) 953-3113	Dr Mickey Joe Fuller, MA, MS, PSYD 198 E Center St, Moab, UT 84532-2430 Ph: (435) 259-6131

Reviews and Comments

Counselor in Moab, UT

Amber Dawn Fowler, CMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 E Center St Ste 7, Moab, UT 84532 Phone: 435-200-5551 Fax: 435-344-4604
Pippa S Thomas, CMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 E Center St Ste 8, Moab, UT 84532 Phone: 435-220-1012
Richard Donham, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 198 East Center Street, Moab, UT 84532 Phone: 435-259-6131 Fax: 435-259-5369
Mr. Ammon Sorensen, APC Counselor Medicare: Not Enrolled in Medicare Practice Location: 198 E Center St, Moab, UT 84532 Phone: 435-259-6131 Fax: 435-259-5369
Belinda Lou Hurst, CMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 198 East Center Street, Moab, UT 84532 Phone: 435-259-6131 Fax: 435-259-5369
Mr. Robert Isadore Greenberg, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 198 East Center Street, Moab, UT 84532 Phone: 435-259-6131 Fax: 435-259-5369

Dr Mickey Joe Fuller, MA, MS, PSYD - Medicare Counselor in Moab, UT