Mrs Juana Fulton, LCSW is a medicare enrolled "Social Worker - Clinical" provider in San Diego, California. She graduated from healthcare school in 2015 and has 11 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Sud Specialty Group - Ca and her current practice location is
1250 Morena Blvd., San Diego, California. You can reach out to her office (for appointments etc.) via phone at
(619) 692-8750.
Mrs Juana Fulton is licensed to practice in California (license number LCSW87062) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1649687450.
Healthcare Provider's Profile
| Full Name | Mrs Juana Fulton |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 11 Years |
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| Location | 1250 Morena Blvd., San Diego, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Juana Fulton graduated from medical school in 2015
NPI Data:
- NPI Number: 1649687450
- Provider Enumeration Date: 07/14/2014
- Last Update Date: 07/18/2019
Medicare PECOS Information:
- PECOS PAC ID: 6901263276
- Enrollment ID: I20230531002803
Medical Identifiers
Medical identifiers for Mrs Juana Fulton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1649687450 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | ASW68292 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW87062 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Sud Specialty Group - Ca | 9537534177 | 456 |
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. Mrs Juana Fulton allows following entities to bill medicare on her behalf.
| Entity Name | County Of San Diego |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225255375
PECOS PAC ID: 8123014057
Enrollment ID: O20040423001418 |
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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. Mrs Juana Fulton 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 |
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Mrs Juana Fulton, LCSW
1250 Morena Blvd.,
San Diego, CA 92110-3815
Ph: (619) 692-8750 | Mrs Juana Fulton, LCSW
1250 Morena Blvd.,
San Diego, CA 92110-3815
Ph: (619) 692-8750 |
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