Kathleen M Fulgenzi, MD in St Clair Shores, MI

Kathleen M Fulgenzi, MD is a medicare enrolled "Family Medicine" physician in St Clair Shores, Michigan. Her current practice location is 24911 Little Mack Ave, St Clair Shores, Michigan. You can reach out to her office (for appointments etc.) via phone at (586) 777-2050.

Kathleen M Fulgenzi is licensed to practice in Michigan (license number 4301042670) 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 1588656102.

Contact Information

	Kathleen M Fulgenzi, MD
	24911 Little Mack Ave, St Clair Shores, MI 48080-3200
	(586) 777-2050
	(586) 777-2189

Map and Direction

Physician's Profile

Full Name	Kathleen M Fulgenzi
Gender	Female
Speciality	Family Medicine
Location	24911 Little Mack Ave, St Clair Shores, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588656102
Provider Enumeration Date: 08/19/2005
Last Update Date: 02/18/2014

Medicare PECOS Information:

PECOS PAC ID: 3779626353
Enrollment ID: I20100204000321

Medical Identifiers

Medical identifiers for Kathleen M Fulgenzi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588656102	NPI	-	NPPES
4420765	Medicaid	MI
0Q262160	Other	MI	BLUE CROSS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	4301042670 (Michigan)	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. Kathleen M Fulgenzi allows following entities to bill medicare on her behalf.

Entity Name	Seton Health Corporation Of Southeastern Michigan
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598177065 PECOS PAC ID: 2567689540 Enrollment ID: O20140814002590

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. Kathleen M Fulgenzi 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
Kathleen M Fulgenzi, MD 43800 Garfield Rd, Clinton Twp, MI 48038-1136 Ph: (586) 777-2050	Kathleen M Fulgenzi, MD 24911 Little Mack Ave, St Clair Shores, MI 48080-3200 Ph: (586) 777-2050

Reviews and Comments

Family Medicine Doctors in St Clair Shores, MI

Margaret Eckel, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 22646 E 9 Mile Rd, Suite A, St Clair Shores, MI 48080 Phone: 586-498-4800 Fax: 586-498-4830
Eileen Margaret Reickert, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 24911 Little Mack Ave, St Clair Shores, MI 48080 Phone: 586-777-2050 Fax: 586-777-2189
Rhetta Faye C Maribao, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 21600 Harper Avenue, 100, St Clair Shores, MI 48080 Phone: 586-726-0340 Fax: 586-254-3872
Donna M Hoban, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 22646 E 9 Mile Rd, Suite A, St Clair Shores, MI 48080 Phone: 586-498-4800 Fax: 586-498-4830
Mary E Murphy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 24911 Little Mack Ave, St Clair Shores, MI 48080 Phone: 586-777-2050 Fax: 586-447-9081
Rajiv Agrawal, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 23600 Harper Avenue, Suite 102, St Clair Shores, MI 48080 Phone: 586-443-4940 Fax: 586-443-4945

Kathleen M Fulgenzi, MD - Medicare Family Medicine in St Clair Shores, MI