Ms Faith B Fuller, LPC in Essex, CT - Medicare Counselor Provider

Ms Faith B Fuller, LPC is a medicare enrolled "Counselor - Mental Health" provider in Essex, Connecticut. Her current practice location is 190 Westbrook Rd, Child & Family Agency, Essex, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 767-0147.

Ms Faith B Fuller is licensed to practice in Connecticut (license number 001297) 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 1083620926.

Contact Information

	Ms Faith B Fuller, LPC
	190 Westbrook Rd, Child & Family Agency, Essex, CT 06426
	(860) 767-0147
	(860) 767-0148

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Faith B Fuller
Gender	Female
Speciality	Counselor - Mental Health
Location	190 Westbrook Rd, Essex, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083620926
Provider Enumeration Date: 07/31/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2466801857
Enrollment ID: I20240206000952

Medical Identifiers

Medical identifiers for Ms Faith B Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083620926	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	001297 (Connecticut)	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 Faith B Fuller allows following entities to bill medicare on her behalf.

Entity Name	Community Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952591851 PECOS PAC ID: 0547169138 Enrollment ID: O20040102000412

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 Faith B Fuller 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 Faith B Fuller, LPC 199 Hall Ave, Wallingford, CT 06492 Ph: (203) 284-9614	Ms Faith B Fuller, LPC 190 Westbrook Rd, Child & Family Agency, Essex, CT 06426 Ph: (860) 767-0147

Reviews and Comments

Counselor in Essex, CT

Leslie Strekel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 67 N Main St, Essex, CT 06426 Phone: 860-861-1174
Hanna Jacquelyn Moore, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 190 Westbrook Rd, Essex, CT 06426 Phone: 860-767-0147 Fax: 860-767-0148
Adam J Russo, MS Counselor Medicare: Medicare Enrolled Practice Location: 251 Essex Plz, Essex, CT 06426 Phone: 860-638-9169 Fax: 860-469-2938
Portia Pendleton, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 190 Westbrook Rd, Essex, CT 06426 Phone: 860-767-0147 Fax: 860-767-0148
Michele Marsh, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 190 Westbrook Rd, Essex, CT 06426 Phone: 860-767-0147 Fax: 860-767-0148
Stacy Mchugh, Counselor Medicare: Not Enrolled in Medicare Practice Location: 190 Westbrook Rd, Essex, CT 06426 Phone: 860-767-0147

Ms Faith B Fuller, LPC - Medicare Counselor in Essex, CT