Mrs Dorothy Michele Fulgham, OT in Kosciusko, MS - Medicare Occupational Therapy Provider

Mrs Dorothy Michele Fulgham, OT is a medicare enrolled "Occupational Therapist" provider in Kosciusko, Mississippi. She graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Occupational Therapy. She is a member of the group practice Premier Medical Group Of Mississippi Llc and her current practice location is 130 Parkway Plz, Kosciusko, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 289-3588.

Mrs Dorothy Michele Fulgham is licensed to practice in Mississippi (license number OT1622) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1497718399.

Contact Information

	Mrs Dorothy Michele Fulgham, OT
	130 Parkway Plz, Kosciusko, MS 39090-3217
	(662) 289-3588
	(662) 289-2486

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Dorothy Michele Fulgham
Gender	Female
Speciality	Occupational Therapy
Experience	22 Years
Location	130 Parkway Plz, Kosciusko, Mississippi
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Dorothy Michele Fulgham graduated from medical school in 2002

NPI Data:

NPI Number: 1497718399
Provider Enumeration Date: 04/11/2006
Last Update Date: 04/08/2013

Medicare PECOS Information:

PECOS PAC ID: 8527011386
Enrollment ID: I20050222000487

Medical Identifiers

Medical identifiers for Mrs Dorothy Michele Fulgham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497718399	NPI	-	NPPES
00273305	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OT1622 (Mississippi)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Premier Medical Group Of Mississippi Llc	8729973623	25

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. Mrs Dorothy Michele Fulgham allows following entities to bill medicare on her behalf.

Provider Name	Premier Medical Group Of Mississippi Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1790827038 PECOS PAC ID: 8729973623 Enrollment ID: O20040219000254

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. Mrs Dorothy Michele 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
Mrs Dorothy Michele Fulgham, OT Po Box 23996, Jackson, MS 39225-3996 Ph: (601) 206-6100	Mrs Dorothy Michele Fulgham, OT 130 Parkway Plz, Kosciusko, MS 39090-3217 Ph: (662) 289-3588

Reviews and Comments

Occupational Therapist in Kosciusko, MS

Sophie Champagne Black, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 310 Autumn Ridge Dr, Kosciusko, MS 39090 Phone: 662-289-3499
Sarah Putt, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 130 Parkway Plz, Kosciusko, MS 39090 Phone: 662-289-3588 Fax: 662-289-3533
Imani Finley, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 310 Autumn Ridge Dr, Kosciusko, MS 39090 Phone: 662-739-6162 Fax: 662-739-6163
Mrs. Tanya L Steen, O.T. Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 130 Parkway Plaza, Kosciusko, MS 39090 Phone: 662-289-3488 Fax: 662-289-3433
Mylissa Hodges, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 310 Autumn Ridge Dr, Kosciusko, MS 39090 Phone: 662-289-3499
Imani Community Outreach Center Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 E Jefferson St, Kosciusko, MS 39090 Phone: 662-289-7676

Mrs Dorothy Michele Fulgham, OT - Medicare Occupational Therapist in Kosciusko, MS