Kathleen M Fulgenzi, MD - Medicare Family Medicine 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 NameKathleen M Fulgenzi
GenderFemale
SpecialityFamily Medicine
Location24911 Little Mack Ave, St Clair Shores, Michigan
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1588656102NPI-NPPES
4420765MedicaidMI
0Q262160OtherMIBLUE CROSS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily 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 NameSeton Health Corporation Of Southeastern Michigan
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.