Matthew Gerald Fuller, in Nashville, TN - Medicare Counselor Provider

Matthew Gerald Fuller, is a medicare enrolled "Counselor - Mental Health" provider in Nashville, Tennessee. His current practice location is 3601 The Vanderbilt Clinic, Nashville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (615) 936-2000.

Matthew Gerald Fuller is licensed to practice in Tennessee (license number 6062) 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 1750946950.

Contact Information

	Matthew Gerald Fuller,
	3601 The Vanderbilt Clinic, Nashville, TN 37232-5428
	(615) 936-2000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Matthew Gerald Fuller
Gender	Male
Speciality	Counselor - Mental Health
Location	3601 The Vanderbilt Clinic, Nashville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750946950
Provider Enumeration Date: 05/03/2019
Last Update Date: 07/02/2024

Medicare PECOS Information:

PECOS PAC ID: 4183061922
Enrollment ID: I20240328001103

Medical Identifiers

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

Identifier	Type	State	Issuer
1750946950	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	3369 (Minnesota)	Secondary
101YM0800X	Counselor - Mental Health	IMH18270 (Florida)	Secondary
101YM0800X	Counselor - Mental Health	6062 (Tennessee)	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. Matthew Gerald Fuller allows following entities to bill medicare on his behalf.

Entity Name	Stellar Clinic Ct Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609641042 PECOS PAC ID: 0840633368 Enrollment ID: O20240212001858

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. Matthew Gerald 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
Matthew Gerald Fuller, 415 County Road 110 N, Mound, MN 55364-8338 Ph: (386) 795-9322	Matthew Gerald Fuller, 3601 The Vanderbilt Clinic, Nashville, TN 37232-5428 Ph: (615) 936-2000

Reviews and Comments

Counselor in Nashville, TN

Regina Peterson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1601 23rd Ave S, 3rd Floor, Nashville, TN 37212 Phone: 615-327-7009 Fax: 615-343-4595
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Alex Donchevel Ellis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 230 Venture Cir, Nashville, TN 37228 Phone: 615-460-4100

Matthew Gerald Fuller, - Medicare Counselor in Nashville, TN