Garrick Fuller, LMSW in Nome, AK - Medicare Social Worker Provider

Garrick Fuller, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Nome, Alaska. His current practice location is 607 Division St, Nome, Alaska. You can reach out to his office (for appointments etc.) via phone at (907) 443-3344.

Garrick Fuller is licensed to practice in Missouri (license number ) 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 1760871842.

Contact Information

	Garrick Fuller, LMSW
	607 Division St, Nome, AK 99762-0966
	(907) 443-3344
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Garrick Fuller
Gender	Male
Speciality	Social Worker - Clinical
Location	607 Division St, Nome, Alaska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760871842
Provider Enumeration Date: 01/13/2015
Last Update Date: 01/13/2015

Medicare PECOS Information:

PECOS PAC ID: 2961851613
Enrollment ID: I20231207000671

Medical Identifiers

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

Identifier	Type	State	Issuer
1760871842	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	(Missouri)	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. Garrick Fuller allows following entities to bill medicare on his behalf.

Entity Name	Alaska Advanced Behavioral Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043993801 PECOS PAC ID: 1052760709 Enrollment ID: O20231207000568

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. Garrick 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
Garrick Fuller, LMSW Po Box 262, Nome, AK 99762-0262 Ph: () -	Garrick Fuller, LMSW 607 Division St, Nome, AK 99762-0966 Ph: (907) 443-3344

Reviews and Comments

Social Worker in Nome, AK

Gregory T Smith, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 306 Fifth Ave. West, Nome, AK 99762 Phone: 907-443-3340 Fax: 907-443-5915
Mr. Marvin Poyourow, DCSW,LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 306 W 5th Ave, Nome, AK 99762 Phone: 907-443-3344
Mrs. Marion A Slater, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 306 West 5th Avenue, Nome, AK 99762 Phone: 907-443-4503
Mrs. Kathryn Lois Hamilton, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 306 West Fifth Avenue, Nome, AK 99762 Phone: 907-443-3344 Fax: 907-443-5915
Pamela Hysong-shimazu, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 306 W 5th Avenue, Nome, AK 99762 Phone: 907-443-3344 Fax: 907-443-5915
Judith Lynn Renwick, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 306 W 5th Ave, Norton Sound Health Corporation, Nome, AK 99762 Phone: 907-443-4540
Ms. Edith M Mccaffrey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 306 West 5th Avenue, Nome, AK 99762 Phone: 907-443-3311

Garrick Fuller, LMSW - Medicare Clinical Social Worker in Nome, AK