Brennah Mae Fulton, OTR/L - Medicare Occupational Therapist in New Hope, MN

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Brennah Mae Fulton, OTR/L is a medicare enrolled "Occupational Therapist" provider in New Hope, Minnesota. Her current practice location is 9220 Bass Lake Rd Ste 260, New Hope, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 533-0363.

Brennah Mae Fulton is licensed to practice in Minnesota (license number 107120) 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 1134820160.

Contact Information

Brennah Mae Fulton, OTR/L
9220 Bass Lake Rd Ste 260,
New Hope, MN 55428-3019
(763) 533-0363
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameBrennah Mae Fulton
GenderFemale
SpecialityOccupational Therapist
Location9220 Bass Lake Rd Ste 260, New Hope, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134820160
  • Provider Enumeration Date: 03/16/2023
  • Last Update Date: 03/16/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2365807591
  • Enrollment ID: I20230424000339

Medical Identifiers

Medical identifiers for Brennah Mae Fulton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134820160NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 107120 (Minnesota)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. Brennah Mae Fulton allows following entities to bill medicare on her behalf.
Provider NameFairview Express Care
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1053952606
PECOS PAC ID: 3375645179
Enrollment ID: O20081028000548
Provider NameHealtheast Outpatient Services Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1225382526
PECOS PAC ID: 0941447304
Enrollment ID: O20130503000040

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. Brennah Mae Fulton 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
Brennah Mae Fulton, OTR/L
3116 Emerson Ave S Apt 2,
Minneapolis, MN 55408-2774

Ph: (715) 581-6268		Brennah Mae Fulton, OTR/L
9220 Bass Lake Rd Ste 260,
New Hope, MN 55428-3019

Ph: (763) 533-0363

Reviews and Comments


Occupational Therapist in New Hope, MN

Bryden Giving,
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 9220 Bass Lake Rd Ste 260, New Hope, MN 55428
Phone: 763-533-0363    
Eunjin Kim, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 3832 Hillsboro Ave N, New Hope, MN 55427
Phone: 857-753-0993    
Aspen Stebbins,
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 4900 Highway 169 N Ste 100, New Hope, MN 55428
Phone: 612-877-8800    Fax: 612-877-8801
Nicole Motz, OTD, OTR/L
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 9220 Bass Lake Rd Ste 260, New Hope, MN 55428
Phone: 763-533-0363    
Emily Rebecca Gralinski,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 5430 Boone Ave N, New Hope, MN 55428
Phone: 763-592-2600    
Alyssa Mason, OTR/L
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 9220 Bass Lake Rd Ste 260, New Hope, MN 55428
Phone: 763-533-0363    

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.