Miss Shelley S Fullenkamp, LSW, LPC in Celina, OH

Miss Shelley S Fullenkamp, LSW, LPC is a medicare enrolled "Counselor - Professional" provider in Celina, Ohio. Her current practice location is 4761 State Route 29, Celina, Ohio. You can reach out to her office (for appointments etc.) via phone at (419) 584-1000.

Miss Shelley S Fullenkamp is licensed to practice in Ohio (license number C. 0027325) 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 1548410244.

Contact Information

	Miss Shelley S Fullenkamp, LSW, LPC
	4761 State Route 29, Celina, OH 45822-8216
	(419) 584-1000
	(419) 584-1825

Map and Direction

Healthcare Provider's Profile

Full Name	Miss Shelley S Fullenkamp
Gender	Female
Speciality	Counselor - Professional
Location	4761 State Route 29, Celina, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548410244
Provider Enumeration Date: 09/30/2008
Last Update Date: 09/21/2012

Medicare PECOS Information:

PECOS PAC ID: 0749719847
Enrollment ID: I20250117001582

Medical Identifiers

Medical identifiers for Miss Shelley S Fullenkamp such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548410244	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	C. 0027325 (Ohio)	Primary
104100000X	Social Worker	S. 0027325 (Ohio)	Secondary

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. Miss Shelley S Fullenkamp allows following entities to bill medicare on her behalf.

Entity Name	Positive Perspectives Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124136791 PECOS PAC ID: 8527952696 Enrollment ID: O20040210000606

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. Miss Shelley S Fullenkamp 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
Miss Shelley S Fullenkamp, LSW, LPC 4761 State Route 29, Celina, OH 45822-8216 Ph: (419) 584-1000	Miss Shelley S Fullenkamp, LSW, LPC 4761 State Route 29, Celina, OH 45822-8216 Ph: (419) 584-1000

Reviews and Comments

Counselor in Celina, OH

Nicole Kuntz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4761 State Route 29, Celina, OH 45822 Phone: 419-584-1000
Mrs. Tammy Nunnally, M.S., L.P.C. Counselor Medicare: Medicare Enrolled Practice Location: 316 W Market St, Counseling And Consulting, Inc, Celina, OH 45822 Phone: 419-586-3900 Fax: 419-586-3338
Garrett Forlow, Counselor Medicare: Not Enrolled in Medicare Practice Location: 441 E Market St, Celina, OH 45822 Phone: 419-584-5123
Daniel Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4761 State Route 29, Celina, OH 45822 Phone: 419-584-1000
Michelle Salazar, LISW-S Counselor Medicare: Accepting Medicare Assignments Practice Location: 401 E. Market St, Celina, OH 45822 Phone: 419-584-5123 Fax: 567-890-7214
Karla Kohler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4761 State Route 29, Celina, OH 45822 Phone: 419-584-1000
Erin K Seitz, Counselor Medicare: Medicare Enrolled Practice Location: 427 E Market St, Celina, OH 45822 Phone: 419-584-5123

Miss Shelley S Fullenkamp, LSW, LPC - Medicare Counselor in Celina, OH