Sonya Fulgham, MFT in Los Angeles, CA - Medicare Counselor Provider

Sonya Fulgham, MFT is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Los Angeles, California. Her current practice location is 1643 92nd Street, #c, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (323) 490-4550.

Sonya Fulgham is licensed to practice in California (license number 6949-R) 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 1588028708.

Contact Information

	Sonya Fulgham, MFT
	1643 92nd Street, #c, Los Angeles, CA 90002
	(323) 490-4550
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Sonya Fulgham
Gender	Female
Speciality	Counselor - Addiction (substance Use Disorder)
Location	1643 92nd Street, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588028708
Provider Enumeration Date: 04/13/2016
Last Update Date: 04/13/2016

Medicare PECOS Information:

PECOS PAC ID: 1759735343
Enrollment ID: I20231002000227

Medical Identifiers

Medical identifiers for Sonya Fulgham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588028708	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	6949-R (California)	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. Sonya Fulgham allows following entities to bill medicare on her behalf.

Entity Name	Pure Autism Counseling Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649737735 PECOS PAC ID: 4284967167 Enrollment ID: O20190607001200

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. Sonya Fulgham 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
Sonya Fulgham, MFT 1643 E. 92nd Street, #c, Los Angeles, CA 90002 Ph: (626) 258-4311	Sonya Fulgham, MFT 1643 92nd Street, #c, Los Angeles, CA 90002 Ph: (323) 490-4550

Reviews and Comments

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Sonya Fulgham, MFT - Medicare Counselor in Los Angeles, CA