Ms Kristina Fuller, LPCC in Bowling Green, KY

Ms Kristina Fuller, LPCC is a medicare enrolled "Counselor - Mental Health" provider in Bowling Green, Kentucky. Her current practice location is 1048 Ashley St, Bowling Green, Kentucky. You can reach out to her office (for appointments etc.) via phone at (270) 904-6567.

Ms Kristina Fuller is licensed to practice in Kentucky (license number 104177) 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 1700202272.

Contact Information

	Ms Kristina Fuller, LPCC
	1048 Ashley St, Bowling Green, KY 42103-2449
	(270) 904-6567
	(270) 904-6570

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Kristina Fuller
Gender	Female
Speciality	Counselor - Mental Health
Location	1048 Ashley St, Bowling Green, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700202272
Provider Enumeration Date: 03/08/2014
Last Update Date: 07/15/2019

Medicare PECOS Information:

PECOS PAC ID: 6608261771
Enrollment ID: I20240118002042

Medical Identifiers

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

Identifier	Type	State	Issuer
1700202272	NPI	-	NPPES
7100287000	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	KY0572 (Kentucky)	Secondary
101YM0800X	Counselor - Mental Health	104177 (Kentucky)	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 Kristina Fuller allows following entities to bill medicare on her behalf.

Entity Name	Kw Consulting Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679127781 PECOS PAC ID: 6901291756 Enrollment ID: O20220315001314

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 Kristina 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 Kristina Fuller, LPCC 431 Claypool Boyce Rd, Alvaton, KY 42122-8732 Ph: (270) 791-8189	Ms Kristina Fuller, LPCC 1048 Ashley St, Bowling Green, KY 42103-2449 Ph: (270) 904-6567

Reviews and Comments

Counselor in Bowling Green, KY

Mr. Gatt Read Ware Sr., TLCADC, BIP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1043 Pedigo Way Ste 30, Bowling Green, KY 42103 Phone: 270-495-1224 Fax: 270-599-0023
Heather Charlene Knight, Counselor Medicare: Not Enrolled in Medicare Practice Location: 380 Suwannee Trail St, Bowling Green, KY 42103 Phone: 270-901-5000
Natalie Christine Kelley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1906 College Heights Blvd, Bowling Green, KY 42101 Phone: 270-745-4204
Emily A Taylor, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1035 Porter Pike, Bowling Green, KY 42103 Phone: 270-418-6327
Mrs. Rozalind Bell, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1711 Ashley Cir, Suite 2, Bowling Green, KY 42104 Phone: 270-935-5125
Karen T Garrity, LPCC, LCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 380 Suwannee Trail Street, Bowling Green, KY 42103 Phone: 270-901-5000 Fax: 270-842-5268
Kylee Sipes, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1621 Scottsville Rd, Bowling Green, KY 42104 Phone: 270-746-6600 Fax: 270-842-9008

Ms Kristina Fuller, LPCC - Medicare Counselor in Bowling Green, KY