Mr Fullard Dee Foreman Jr, BA is a
Counselor based in Collinsville, Oklahoma. Mr Fullard Dee Foreman Jr is licensed to practice in Oklahoma (license number F082462546) and his current practice location is
13952 N 147th East Ave, Collinsville, Oklahoma. He can be reached at his office (for appointments etc.) via phone at
(918) 344-2536.
NPI number for Mr Fullard Dee Foreman Jr is 1912307380 and his current mailing address is 13952 N 147th East Ave, Collinsville, Oklahoma. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1912307380.
Healthcare Provider's Profile
Full Name | Mr Fullard Dee Foreman Jr |
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Gender | Male |
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Speciality | Counselor |
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Location | 13952 N 147th East Ave, Collinsville, Oklahoma |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1912307380
- Provider Enumeration Date: 09/03/2014
- Last Update Date: 09/03/2014
Medical Identifiers
Medical identifiers for Mr Fullard Dee Foreman Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912307380 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | F082462546 (Oklahoma) | 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. Mr Fullard Dee Foreman Jr 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 |
Mr Fullard Dee Foreman Jr, BA 13952 N 147th East Ave, Collinsville, OK 74021-5690 Ph: (918) 344-2536 | Mr Fullard Dee Foreman Jr, BA 13952 N 147th East Ave, Collinsville, OK 74021-5690 Ph: (918) 344-2536 |
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