Mariel Fuller, in Pomona, CA - Medicare Marriage & Family Therapist Provider

Mariel Fuller, is a medicare enrolled "Marriage & Family Therapist" provider in Pomona, California. Her current practice location is 2008 N Garey Ave, Pomona, California. You can reach out to her office (for appointments etc.) via phone at (909) 623-6131.

Mariel Fuller is licensed to practice in California (license number 137909) 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 1326214867.

Contact Information

	Mariel Fuller,
	2008 N Garey Ave, Pomona, CA 91767-2722
	(909) 623-6131
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mariel Fuller
Gender	Female
Speciality	Marriage & Family Therapist
Location	2008 N Garey Ave, Pomona, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326214867
Provider Enumeration Date: 05/05/2008
Last Update Date: 10/30/2023

Medicare PECOS Information:

PECOS PAC ID: 7214379122
Enrollment ID: I20240523001812

Medical Identifiers

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

Identifier	Type	State	Issuer
1326214867	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	112011 (California)	Secondary
225400000X	Rehabilitation Practitioner	(* (Not Available))	Secondary
106H00000X	Marriage & Family Therapist	137909 (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. Mariel Fuller allows following entities to bill medicare on her behalf.

Entity Name	Tri-city Mental Health Authority
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346304920 PECOS PAC ID: 6002710506 Enrollment ID: O20031125000952

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. Mariel 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
Mariel Fuller, 2008 N Garey Ave, Pomona, CA 91767-2722 Ph: (909) 623-6131	Mariel Fuller, 2008 N Garey Ave, Pomona, CA 91767-2722 Ph: (909) 623-6131

Reviews and Comments

Marriage & Family Therapist in Pomona, CA

Ms. Loyce Ann Hampson, M.A. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 790 E Bonita Ave, Pomona, CA 91767 Phone: 714-470-1457
Kwonta Phatiphong, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2008 N Garey Ave, Pomona, CA 91767 Phone: 909-623-6131
Yvette Barriga, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1900 Royalty Dr Ste 180, Pomona, CA 91767 Phone: 909-766-7340 Fax: 909-865-0730
Mr. Luis Felipe Resendez Jr., M.A. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2008 N Garey Ave, Pomona, CA 91764 Phone: 909-766-7302
Nana Bamfo, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2008 N Garey Ave, Pomona, CA 91767 Phone: 909-623-6131
Sitlally Garcia, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 801 Corporate Center Dr Ste 202, Pomona, CA 91768 Phone: 626-658-1843
Sarah P Liu, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 160 E Holt Ave Ste F, Pomona, CA 91767 Phone: 626-257-1479

Mariel Fuller, - Medicare Couples Therapy in Pomona, CA