Mr Keith Baugus Fussell, LPC, LMFT is a
Marriage & Family Therapist based in Bartlett, Tennessee. Mr Keith Baugus Fussell is licensed to practice in Tennessee (license number 600) and his current practice location is
2855 Summer Oaks Dr, Bartlett, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(901) 382-3888.
NPI number for Mr Keith Baugus Fussell is 1962636712 and his current mailing address is 2855 Summer Oaks Dr, Bartlett, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1962636712.
Healthcare Provider's Profile
Full Name | Mr Keith Baugus Fussell |
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Gender | Male |
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Speciality | Marriage & Family Therapist |
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Location | 2855 Summer Oaks Dr, Bartlett, Tennessee |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1962636712
- Provider Enumeration Date: 05/07/2009
- Last Update Date: 05/07/2009
Medical Identifiers
Medical identifiers for Mr Keith Baugus Fussell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962636712 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 457 (Tennessee) | Secondary |
106H00000X | Marriage & Family Therapist | 600 (Tennessee) | 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 Keith Baugus Fussell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Keith Baugus Fussell, LPC, LMFT 2855 Summer Oaks Dr, Bartlett, TN 38134-3812 Ph: (901) 382-3888 | Mr Keith Baugus Fussell, LPC, LMFT 2855 Summer Oaks Dr, Bartlett, TN 38134-3812 Ph: (901) 382-3888 |
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