Mrs Tanisha C Fulcher, in San Diago, CA - Medicare Marriage And Family Therapist Provider

Mrs Tanisha C Fulcher, is a medicare enrolled "Marriage & Family Therapist" provider in San Diago, California. She graduated from healthcare school in 2006 and has 20 years of diverse experience with area of expertise as Marriage And Family Therapist. She is a member of the group practice Mood Clinical, P. C. and her current practice location is 8825 Aero Dr., Ste 315, San Diago, California. You can reach out to her office (for appointments etc.) via phone at (858) 956-5901.

Mrs Tanisha C Fulcher is licensed to practice in California (license number AMFT113338) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1528611910.

Contact Information

	Mrs Tanisha C Fulcher,
	8825 Aero Dr., Ste 315, San Diago, CA 92123
	(858) 956-5901
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Tanisha C Fulcher
Gender	Female
Speciality	Marriage And Family Therapist
Experience	20 Years
Location	8825 Aero Dr., San Diago, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Tanisha C Fulcher graduated from medical school in 2006

NPI Data:

NPI Number: 1528611910
Provider Enumeration Date: 07/24/2019
Last Update Date: 07/26/2019

Medicare PECOS Information:

PECOS PAC ID: 6305367400
Enrollment ID: I20250305002686

Medical Identifiers

Medical identifiers for Mrs Tanisha C Fulcher such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528611910	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	AMFT113338 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mood Clinical, P. C.	4981080769	60

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. Mrs Tanisha C Fulcher allows following entities to bill medicare on her behalf.

Entity Name	Mood Clinical, P. C.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922675644 PECOS PAC ID: 4981080769 Enrollment ID: O20220930002640

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. Mrs Tanisha C Fulcher 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
Mrs Tanisha C Fulcher, Po Box 2629, Spring Valley, CA 91979 Ph: (619) 794-5189	Mrs Tanisha C Fulcher, 8825 Aero Dr., Ste 315, San Diago, CA 92123 Ph: (858) 956-5901

Mrs Tanisha C Fulcher, - Medicare Couples Therapy in San Diago, CA