Karen Michelle Soutullo, in Fayetteville, NC - Medicare Counselor Provider

Karen Michelle Soutullo, is a medicare enrolled "Counselor - Mental Health" provider in Fayetteville, North Carolina. Her current practice location is 3505 Village Dr Ste 101, Fayetteville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (615) 463-6669.

Karen Michelle Soutullo is licensed to practice in North Carolina (license number A11927) 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 1609247964.

Contact Information

	Karen Michelle Soutullo,
	3505 Village Dr Ste 101, Fayetteville, NC 28304-4514
	(615) 463-6669
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Karen Michelle Soutullo
Gender	Female
Speciality	Counselor - Mental Health
Location	3505 Village Dr Ste 101, Fayetteville, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609247964
Provider Enumeration Date: 10/13/2015
Last Update Date: 01/16/2024

Medicare PECOS Information:

PECOS PAC ID: 7719327220
Enrollment ID: I20240501002331

Medical Identifiers

Medical identifiers for Karen Michelle Soutullo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609247964	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	A11927 (North Carolina)	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. Karen Michelle Soutullo allows following entities to bill medicare on her behalf.

Entity Name	Centerstone Of Tennessee, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609482439 PECOS PAC ID: 9739088113 Enrollment ID: O20210219001917

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. Karen Michelle Soutullo 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
Karen Michelle Soutullo, 3505 Village Dr Ste 101, Fayetteville, NC 28304-4514 Ph: (615) 463-6669	Karen Michelle Soutullo, 3505 Village Dr Ste 101, Fayetteville, NC 28304-4514 Ph: (615) 463-6669

Reviews and Comments

Counselor in Fayetteville, NC

Annie Rasheedah Hasan, LCAS-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 1340 Mcarthur Rd, Fayetteville, NC 28311 Phone: 910-624-6513 Fax: 910-568-5385
Rivette Cole, LCASA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2820 Bolla Dr, Fayetteville, NC 28306 Phone: 910-797-6511 Fax: 910-491-1000
Ms. Katherine Patricia Hand, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 315 Dick St, Fayetteville, NC 28301 Phone: 910-868-6092
Patricia Sunshine Duggan, LCMCHA, LCASA,NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5135 Morganton Rd Ste 104, Fayetteville, NC 28314 Phone: 910-216-9256
Mazie Ellis, LCSWA Counselor Medicare: Not Enrolled in Medicare Practice Location: 3605 Camson Rd, Fayetteville, NC 28306 Phone: 910-391-4520
Nicole Turner, CADC-R Counselor Medicare: Not Enrolled in Medicare Practice Location: 3427 Melrose Rd, Fayetteville, NC 28304 Phone: 910-900-8256
Shirley Ann White-snead, Counselor Medicare: Not Enrolled in Medicare Practice Location: 324 Person St, Fayetteville, NC 28301 Phone: 910-438-0939 Fax: 910-438-0942

Karen Michelle Soutullo, - Medicare Counselor in Fayetteville, NC