Teresa Antoinette Fuller, LCSW, LCDC is a medicare enrolled "Social Worker - Clinical" provider in Houston, Texas. Her current practice location is
9898 Bissonnet St Ste 470, Houston, Texas. You can reach out to her office (for appointments etc.) via phone at
(281) 888-6137.
Teresa Antoinette Fuller is licensed to practice in Texas (license number 61810) 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 1346846151.
Healthcare Provider's Profile
| Full Name | Teresa Antoinette Fuller |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 9898 Bissonnet St Ste 470, Houston, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1346846151
- Provider Enumeration Date: 12/07/2020
- Last Update Date: 08/13/2021
Medicare PECOS Information:
- PECOS PAC ID: 1456766963
- Enrollment ID: I20210216000625
Medical Identifiers
Medical identifiers for Teresa Antoinette Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1346846151 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 14286 (Texas) | Secondary |
| 1041C0700X | Social Worker - Clinical | 61810 (Texas) | 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. Teresa Antoinette Fuller allows following entities to bill medicare on her behalf.
| Entity Name | Assurasource Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194746016
PECOS PAC ID: 8123125580
Enrollment ID: O20070518000258 |
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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. Teresa Antoinette 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 |
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Teresa Antoinette Fuller, LCSW, LCDC
1918 Woodvale Dr Unit B,
Missouri City, TX 77489-1421
Ph: (281) 901-9412 | Teresa Antoinette Fuller, LCSW, LCDC
9898 Bissonnet St Ste 470,
Houston, TX 77036-8280
Ph: (281) 888-6137 |
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