Jennie Rebecca Fullmer, LPC in Twin Falls, ID

Jennie Rebecca Fullmer, LPC is a medicare enrolled "Counselor - Professional" provider in Twin Falls, Idaho. Her current practice location is 1363 Fillmore St, Twin Falls, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 736-7090.

Jennie Rebecca Fullmer is licensed to practice in Idaho (license number LPC-6127) 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 1720433600.

Contact Information

	Jennie Rebecca Fullmer, LPC
	1363 Fillmore St, Twin Falls, ID 83301-3392
	(208) 736-7090
	(208) 736-7089

Map and Direction

Healthcare Provider's Profile

Full Name	Jennie Rebecca Fullmer
Gender	Female
Speciality	Counselor - Professional
Location	1363 Fillmore St, Twin Falls, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720433600
Provider Enumeration Date: 04/28/2016
Last Update Date: 04/28/2016

Medicare PECOS Information:

PECOS PAC ID: 5294984407
Enrollment ID: I20240116002831

Medical Identifiers

Medical identifiers for Jennie Rebecca Fullmer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720433600	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC-6127 (Idaho)	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. Jennie Rebecca Fullmer allows following entities to bill medicare on her behalf.

Entity Name	Crosspointe Mental Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386914505 PECOS PAC ID: 8921257130 Enrollment ID: O20121003000722

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. Jennie Rebecca Fullmer 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
Jennie Rebecca Fullmer, LPC 1363 Fillmore St, Twin Falls, ID 83301-3392 Ph: (208) 736-7090	Jennie Rebecca Fullmer, LPC 1363 Fillmore St, Twin Falls, ID 83301-3392 Ph: (208) 736-7090

Reviews and Comments

Counselor in Twin Falls, ID

Mrs. Tamara Okelberry, M.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 460 Main Ave S Ste C, Twin Falls, ID 83301 Phone: 208-734-7730
Stephanie Lynn Callen, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 630 Addison Ave W Ste 1000, Twin Falls, ID 83301 Phone: 208-736-5048
Linda K Waggoner, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 493 Eastland, Twin Falls, ID 83303 Phone: 208-732-0995 Fax: 208-732-0993
Mrs. Helen Flinn, ISAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 233 Gooding St N, Twin Falls, ID 83301 Phone: 208-736-5048 Fax: 208-735-2126
Nohemi Vasquez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 139 River Vista Pl Ste 201, Twin Falls, ID 83301 Phone: 208-858-5175
Mrs. Christy Hansen, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1411 Falls Ave E Ste 703, Twin Falls, ID 83301 Phone: 208-737-0572
Christina J Satterwhite, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 284 Martin St, Twin Falls, ID 83301 Phone: 208-733-7186 Fax: 208-733-7178

Jennie Rebecca Fullmer, LPC - Medicare Counselor in Twin Falls, ID