Mallory Fulmer, in Newnan, GA - Medicare Speech-Language Pathologist Provider

Mallory Fulmer, is a medicare enrolled "Speech-language Pathologist" provider in Newnan, Georgia. Her current practice location is 2959 Sharpsburg Mccullum Rd, Building C, Suite C, Newnan, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 683-0250.

Mallory Fulmer is licensed to practice in Georgia (license number SLP008377) 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 1700255437.

Contact Information

	Mallory Fulmer,
	2959 Sharpsburg Mccullum Rd, Building C, Suite C, Newnan, GA 30265-2297
	(770) 683-0250
	(770) 683-4250

Map and Direction

Healthcare Provider's Profile

Full Name	Mallory Fulmer
Gender	Female
Speciality	Speech-language Pathologist
Location	2959 Sharpsburg Mccullum Rd, Newnan, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700255437
Provider Enumeration Date: 09/23/2015
Last Update Date: 09/23/2015

Medicare PECOS Information:

PECOS PAC ID: 4688084676
Enrollment ID: I20201103000665

Medical Identifiers

Medical identifiers for Mallory Fulmer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700255437	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	SLP008377 (Georgia)	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. Mallory Fulmer allows following entities to bill medicare on her behalf.

Provider Name	Helping Hands Therapy
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1497871495 PECOS PAC ID: 8224180500 Enrollment ID: O20090717000062

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. Mallory Fulmer 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
Mallory Fulmer, 119 Strong Rd, Newnan, GA 30263-7216 Ph: (678) 986-4245	Mallory Fulmer, 2959 Sharpsburg Mccullum Rd, Building C, Suite C, Newnan, GA 30265-2297 Ph: (770) 683-0250

Reviews and Comments

Speech-Language Pathologist in Newnan, GA

Therapy Moms Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 100 Northcrest Dr, Newnan, GA 30265 Phone: 602-558-3431
Marlisa B Stechmann, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1755 Highway 34 E, Suite 1300, Newnan, GA 30265 Phone: 770-254-7850
Lacey Keller, CCC-SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 2280 Us 29, Newnan, GA 30265 Phone: 770-683-6833
Mrs. Lacey Daush, MA,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2280 Highway 29 N, Newnan, GA 30265 Phone: 770-683-6834 Fax: 770-252-0886
Brianna Monk, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 285 Summerlin Blvd, Newnan, GA 30265 Phone: 678-990-8918
Deecie Mann Wilbanks, MSP, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 416 Lake Forest Dr, Newnan, GA 30265 Phone: 803-360-4589
Mrs. Lindsey Carole Curtis, M.ED, CCC-SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 2959 Sharpsburg Mccullum Rd Ste C, Newnan, GA 30265 Phone: 770-683-0250

Mallory Fulmer, - Medicare Speech-Language Pathologist in Newnan, GA