Mr Fred Fulton Iv, in Delhi, LA - Medicare Counselor Provider

Mr Fred Fulton Iv, is a medicare enrolled "Counselor - Professional" provider in Delhi, Louisiana. His current practice location is 501 Broadway St, Delhi, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 878-8658.

Mr Fred Fulton Iv is licensed to practice in * (Not Available) (license number ) 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 1154725315.

Contact Information

	Mr Fred Fulton Iv,
	501 Broadway St, Delhi, LA 71232-3001
	(318) 878-8658
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Fred Fulton Iv
Gender	Male
Speciality	Counselor - Professional
Location	501 Broadway St, Delhi, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154725315
Provider Enumeration Date: 10/17/2014
Last Update Date: 06/02/2021

Medicare PECOS Information:

PECOS PAC ID: 4183073182
Enrollment ID: I20231216000134

Medical Identifiers

Medical identifiers for Mr Fred Fulton Iv such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154725315	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	(* (Not Available))	Secondary
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
101YP1600X	Counselor - Pastoral	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	(* (Not Available))	Primary

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. Mr Fred Fulton Iv 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
Mr Fred Fulton Iv, 109 Larche Dr, West Monroe, LA 71291-5401 Ph: (318) 651-9626	Mr Fred Fulton Iv, 501 Broadway St, Delhi, LA 71232-3001 Ph: (318) 878-8658

Reviews and Comments

Counselor in Delhi, LA

Jeremy Runner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 712 First St, Delhi, LA 71232 Phone: 318-547-9716 Fax: 318-878-6698
Fremeckia Carver, Counselor Medicare: Not Enrolled in Medicare Practice Location: 712 First St, Delhi, LA 71232 Phone: 318-878-6696
Michelle Ezell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 712 First St, Delhi, LA 71232 Phone: 318-878-6696 Fax: 318-878-6698
Mrs. Montoya Parson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 712 First St, Delhi, LA 71232 Phone: 318-878-6696 Fax: 318-878-6698
Tonie London, Counselor Medicare: Not Enrolled in Medicare Practice Location: 712 First St, Delhi, LA 71232 Phone: 318-878-6696 Fax: 318-878-6698
Stacy Mackey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 712 First St, Delhi, LA 71232 Phone: 318-878-6696 Fax: 318-878-6698
Rusty Thompson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 712 First St, Delhi, LA 71232 Phone: 318-878-6696 Fax: 318-878-6698

Mr Fred Fulton Iv, - Medicare Counselor in Delhi, LA