Mr Charles Robert Fuller Ii, LPC-S in Bryan, TX

Mr Charles Robert Fuller Ii, LPC-S is a medicare enrolled "Counselor - Professional" provider in Bryan, Texas. His current practice location is 3201 University Dr E Ste 150, Bryan, Texas. You can reach out to his office (for appointments etc.) via phone at (979) 777-5545.

Mr Charles Robert Fuller Ii is licensed to practice in Texas (license number 72142) 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 1952845240.

Contact Information

	Mr Charles Robert Fuller Ii, LPC-S
	3201 University Dr E Ste 150, Bryan, TX 77802-3487
	(979) 777-5545
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Charles Robert Fuller Ii
Gender	Male
Speciality	Counselor - Professional
Location	3201 University Dr E Ste 150, Bryan, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952845240
Provider Enumeration Date: 12/06/2016
Last Update Date: 09/20/2023

Medicare PECOS Information:

PECOS PAC ID: 9830533793
Enrollment ID: I20240219002795

Medical Identifiers

Medical identifiers for Mr Charles Robert Fuller Ii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952845240	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	72142 (Texas)	Secondary
101YM0800X	Counselor - Mental Health	72142 (Texas)	Secondary
101YP2500X	Counselor - Professional	72142 (Texas)	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. Mr Charles Robert Fuller Ii allows following entities to bill medicare on his behalf.

Entity Name	Fuller Counseling And Consulting Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518647627 PECOS PAC ID: 8224472188 Enrollment ID: O20240219002586

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. Mr Charles Robert Fuller Ii 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
Mr Charles Robert Fuller Ii, LPC-S 1716 Briarcrest Dr Ste 300, Bryan, TX 77802-2777 Ph: (979) 431-5413	Mr Charles Robert Fuller Ii, LPC-S 3201 University Dr E Ste 150, Bryan, TX 77802-3487 Ph: (979) 777-5545

Reviews and Comments

Counselor in Bryan, TX

Kristen Wellman Tubbs, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1770 Fickey Rd, Bryan, TX 77808 Phone: 979-820-1191
Alyssa Reeves, Counselor Medicare: Not Enrolled in Medicare Practice Location: 401 N Main St, Bryan, TX 77803 Phone: 932-310-5629
Latonya Hendricks, LPC, LSOTP Counselor Medicare: Not Enrolled in Medicare Practice Location: 4103 S Texas Ave Ste 212, Bryan, TX 77802 Phone: 979-987-1881
Tricia Deanne Booth, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2402 Broadmoor, #102 A, Bryan, TX 77802 Phone: 979-229-7184
Noel Neely, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4444 Carter Creek Pkwy Ste 204, Bryan, TX 77802 Phone: 979-260-6700
Ms. Joan Marie Clark, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2402 Broadmoor Dr, 101-c, Bryan, TX 77802 Phone: 979-774-4134 Fax: 979-776-4804
Jenna Schwartz, MA, LPA Counselor Medicare: Not Enrolled in Medicare Practice Location: 8441 Highway 47, Clinical Building 1, Suite 1100, Bryan, TX 77807 Phone: 979-774-8200

Mr Charles Robert Fuller Ii, LPC-S - Medicare Counselor in Bryan, TX