Kelly Lynn Fuller, is a
Counselor - Mental Health based in Bloomingdale, New York. Kelly Lynn Fuller is licensed to practice in New York (license number P118325) and her current practice location is
755 Cold Brook Rd, Bloomingdale, New York. She can be reached at her office (for appointments etc.) via phone at
(518) 637-4112.
NPI number for Kelly Lynn Fuller is 1033827308 and her current mailing address is 755 Cold Brook Rd, Bloomingdale, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033827308.
Healthcare Provider's Profile
Full Name | Kelly Lynn Fuller |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 755 Cold Brook Rd, Bloomingdale, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1033827308
- Provider Enumeration Date: 11/07/2022
- Last Update Date: 11/07/2022
Medical Identifiers
Medical identifiers for Kelly Lynn Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033827308 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | P118325 (New York) | Primary |
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. Kelly Lynn Fuller is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kelly Lynn Fuller, 755 Cold Brook Rd, Bloomingdale, NY 12913-2415 Ph: (518) 637-4112 | Kelly Lynn Fuller, 755 Cold Brook Rd, Bloomingdale, NY 12913-2415 Ph: (518) 637-4112 |
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