Mr Jeffrey Ray Fulkerson, M ED, MS, LAC, LPC - Medicare Counselor in Tempe, AZ

Mr Jeffrey Ray Fulkerson, M ED, MS, LAC, LPC is a medicare enrolled "Counselor - Professional" provider in Tempe, Arizona. His current practice location is 3920 S Rural Rd Ste 112, Tempe, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 428-2944.

Mr Jeffrey Ray Fulkerson is licensed to practice in Arizona (license number LPC-21211) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1417457623.

Contact Information

Mr Jeffrey Ray Fulkerson, M ED, MS, LAC, LPC
3920 S Rural Rd Ste 112,
Tempe, AZ 85282-5500
(480) 428-2944
(480) 680-5361

Map and Direction


Healthcare Provider's Profile

Full NameMr Jeffrey Ray Fulkerson
GenderMale
SpecialityCounselor - Professional
Location3920 S Rural Rd Ste 112, Tempe, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1417457623
  • Provider Enumeration Date: 02/14/2018
  • Last Update Date: 12/22/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8820440621
  • Enrollment ID: I20240117002594

Medical Identifiers

Medical identifiers for Mr Jeffrey Ray Fulkerson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417457623NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional LPC-21211 (Arizona)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. Mr Jeffrey Ray Fulkerson allows following entities to bill medicare on his behalf.
Entity NameAj Southwest Ventures Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639880917
PECOS PAC ID: 8224480090
Enrollment ID: O20240117001778

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. Mr Jeffrey Ray Fulkerson 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 AddressPractice Location Address
Mr Jeffrey Ray Fulkerson, M ED, MS, LAC, LPC
3920 S Rural Rd Ste 112,
Tempe, AZ 85282-5500

Ph: (480) 428-2944
Mr Jeffrey Ray Fulkerson, M ED, MS, LAC, LPC
3920 S Rural Rd Ste 112,
Tempe, AZ 85282-5500

Ph: (480) 428-2944

Reviews and Comments


Counselor in Tempe, AZ

Lorre Royanne Anderson, MS, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 4025 S Mcclintock Dr # 212, Tempe, AZ 85282
Phone: 480-278-9024    
Mr. William Saunders, L.P.C.
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Medicare: Not Enrolled in Medicare
Practice Location: 2435 E Southern Ave, Suite 2, Tempe, AZ 85282
Phone: 480-241-2455    
Carly Ann Welch,
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Medicare: Not Enrolled in Medicare
Practice Location: 2120 S Mcclintock Dr Ste 105, Tempe, AZ 85282
Phone: 480-804-0326    Fax: 480-804-0083
Maria Rose Sarno, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 2120 S Mcclintock Dr Ste 105, Tempe, AZ 85282
Phone: 480-804-0326    Fax: 480-804-0083
Renee Dionisio,
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Medicare: Not Enrolled in Medicare
Practice Location: 401 W Baseline Rd Ste 210, Tempe, AZ 85283
Phone: 480-307-6446    
Ms. Cheryl Lynn Sanders, MC, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1232 E Broadway Rd, Suite #120, Tempe, AZ 85282
Phone: 480-784-1514    
Jamie L Hancock, LAC
Counselor
Medicare: Medicare Enrolled
Practice Location: 2120 S Mcclintock Dr, Suite 105, Tempe, AZ 85282
Phone: 480-804-0326    Fax: 480-804-0083

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.