Ms Carolyn Whitfield Fulmore, LPC is a medicare enrolled "Counselor" provider in Latta, South Carolina. Her current practice location is
122 Latimer St, Latta, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(843) 627-6252.
Ms Carolyn Whitfield Fulmore is licensed to practice in * (Not Available) (license number ) 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 1487766549.
Healthcare Provider's Profile
| Full Name | Ms Carolyn Whitfield Fulmore |
|---|
| Gender | Female |
|---|
| Speciality | Counselor |
|---|
| Location | 122 Latimer St, Latta, South Carolina |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1487766549
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 03/11/2019
Medicare PECOS Information:
- PECOS PAC ID: 6507192333
- Enrollment ID: I20240122000580
Medical Identifiers
Medical identifiers for Ms Carolyn Whitfield Fulmore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487766549 | NPI | - | NPPES |
| 405127 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | 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. Ms Carolyn Whitfield Fulmore allows following entities to bill medicare on her behalf.
| Entity Name | Caresouth Carolina Inc. |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1720082571
PECOS PAC ID: 1052221314
Enrollment ID: O20040511000280 |
|---|
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. Ms Carolyn Whitfield Fulmore 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 |
|---|
Ms Carolyn Whitfield Fulmore, LPC
Po Box 1090,
Hartsville, SC 29551-1090
Ph: (843) 857-0111 | Ms Carolyn Whitfield Fulmore, LPC
122 Latimer St,
Latta, SC 29565-1828
Ph: (843) 627-6252 |
Reviews and Comments