Ms Ellen-beth Fullwood, MS CCC-SLP - Medicare Speech-Language Pathologist in Fort Myers, FL

Ms Ellen-beth Fullwood, MS CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Fort Myers, Florida. Her current practice location is 15114 Cloverdale Dr, Fort Myers, Florida. You can reach out to her office (for appointments etc.) via phone at (239) 410-2629.

Ms Ellen-beth Fullwood is licensed to practice in Florida (license number SA9064) 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 1386894574.

Contact Information

Ms Ellen-beth Fullwood, MS CCC-SLP
15114 Cloverdale Dr,
Fort Myers, FL 33919-8308
(239) 410-2629
(309) 410-2629

Map and Direction




Healthcare Provider's Profile

Full NameMs Ellen-beth Fullwood
GenderFemale
SpecialitySpeech-language Pathologist
Location15114 Cloverdale Dr, Fort Myers, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1386894574
  • Provider Enumeration Date: 09/24/2008
  • Last Update Date: 09/24/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 8426423427
  • Enrollment ID: I20230405000185

Medical Identifiers

Medical identifiers for Ms Ellen-beth Fullwood such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386894574NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist SA9064 (Florida)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. Ms Ellen-beth Fullwood allows following entities to bill medicare on her behalf.
Provider NameDah Therapies Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1407325467
PECOS PAC ID: 5395078968
Enrollment ID: O20190613001242
Provider NameOptimized Therapy Transitions Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1891346680
PECOS PAC ID: 6305274812
Enrollment ID: O20200317000146

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. Ms Ellen-beth Fullwood 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
Ms Ellen-beth Fullwood, MS CCC-SLP
15114 Cloverdale Dr,
Fort Myers, FL 33919-8308

Ph: (239) 410-2629
Ms Ellen-beth Fullwood, MS CCC-SLP
15114 Cloverdale Dr,
Fort Myers, FL 33919-8308

Ph: (239) 410-2629

Reviews and Comments


Speech-Language Pathologist in Fort Myers, FL

Mrs. Denise Elaine Luna, M.S.,C.C.C
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Emmi Ring Llc
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Phone: 508-269-0252    
Cesily Insana,
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Practice Location: 4997 Royal Gulf Cir, Fort Myers, FL 33966
Phone: 239-313-5049    Fax: 239-313-5712
Miss Stefanie Leigh Blackwell, M.S. CCC-SLP
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Practice Location: 16971 Laurelin Ct, Fort Myers, FL 33917
Phone: 308-293-7048    

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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.

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