Mrs Fatimaah D Fullilove, LSW, LICDC - Medicare Counselor in Mentor, OH

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Mrs Fatimaah D Fullilove, LSW, LICDC is a medicare enrolled "Social Worker - Clinical" provider in Mentor, Ohio. Her current practice location is 7232 Justin Way, Mentor, Ohio. You can reach out to her office (for appointments etc.) via phone at (440) 578-8200.

Mrs Fatimaah D Fullilove is licensed to practice in Ohio (license number S.2106096) 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 1003329228.

Contact Information

Mrs Fatimaah D Fullilove, LSW, LICDC
7232 Justin Way,
Mentor, OH 44060-4881
(440) 578-8200
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMrs Fatimaah D Fullilove
GenderFemale
SpecialitySocial Worker - Clinical
Location7232 Justin Way, Mentor, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003329228
  • Provider Enumeration Date: 11/09/2017
  • Last Update Date: 05/28/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2365881042
  • Enrollment ID: I20240415000302

Medical Identifiers

Medical identifiers for Mrs Fatimaah D Fullilove such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003329228NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 162016 (Ohio)Secondary
104100000XSocial Worker 2106096 (Ohio)Secondary
1041C0700XSocial Worker - Clinical S.2106096 (Ohio)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. Mrs Fatimaah D Fullilove allows following entities to bill medicare on her behalf.
Entity NameSignature Health, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679767289
PECOS PAC ID: 8628970985
Enrollment ID: O20040126000762

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. Mrs Fatimaah D Fullilove 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
Mrs Fatimaah D Fullilove, LSW, LICDC
7232 Justin Way,
Mentor, OH 44060-4881

Ph: (440) 578-8200		Mrs Fatimaah D Fullilove, LSW, LICDC
7232 Justin Way,
Mentor, OH 44060-4881

Ph: (440) 578-8200

Reviews and Comments


Social Worker in Mentor, OH


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.