Kimberly Kay Fuller, in Portland, OR - Medicare Counselor Provider

Kimberly Kay Fuller, is a medicare enrolled "Counselor - Mental Health" provider in Portland, Oregon. Her current practice location is 1020 Sw Taylor St Ste 560, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 777-0094.

Kimberly Kay Fuller is licensed to practice in Oregon (license number R8050) 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 1831800234.

Contact Information

	Kimberly Kay Fuller,
	1020 Sw Taylor St Ste 560, Portland, OR 97205-2533
	(541) 777-0094
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kimberly Kay Fuller
Gender	Female
Speciality	Counselor - Mental Health
Location	1020 Sw Taylor St Ste 560, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831800234
Provider Enumeration Date: 12/07/2022
Last Update Date: 04/25/2024

Medicare PECOS Information:

PECOS PAC ID: 0042653933
Enrollment ID: I20240207003563

Medical Identifiers

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

Identifier	Type	State	Issuer
1831800234	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	R8050 (Oregon)	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. Kimberly Kay Fuller allows following entities to bill medicare on her behalf.

Entity Name	Well Coast Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881245231 PECOS PAC ID: 4587094826 Enrollment ID: O20200714002259

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. Kimberly Kay 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
Kimberly Kay Fuller, 582 Market St Ste 1608, San Francisco, CA 94104-5317 Ph: (833) 931-1716	Kimberly Kay Fuller, 1020 Sw Taylor St Ste 560, Portland, OR 97205-2533 Ph: (541) 777-0094

Reviews and Comments

Counselor in Portland, OR

Deanna Gold, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 847 Ne 19th Ave, Suite 100, Portland, OR 97232 Phone: 503-891-9937
Loren Dale Horton, B.A, M.DIV. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1320 Sw Washington St, Portland, OR 97205 Phone: 503-535-1150
Michael Peter Kender, MA, M.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 9111 Ne Sunderland Ave, Portland, OR 97211 Phone: 503-280-6646 Fax: 503-280-6051
Laura Ann Allen, MS, CADCIII Counselor Medicare: Not Enrolled in Medicare Practice Location: 324 Nw Davis St, Portland, OR 97209 Phone: 503-226-2203 Fax: 503-223-4231
James Paul Bryant, LCSW, CADC 3 Counselor Medicare: Not Enrolled in Medicare Practice Location: 3550 N Interstate Ave, Portland, OR 97227 Phone: 503-964-0000
Michael Ann Benchoff, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 421 Sw Oak Street, Suite 520, Portland, OR 97204 Phone: 503-988-4949
Lynn A Fontana, L.M.F.T, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 8035 Ne Prescott St, Portland, OR 97218 Phone: 503-223-7719 Fax: 503-255-4714

Kimberly Kay Fuller, - Medicare Counselor in Portland, OR