Marissa Fullard, in Manning, SC - Medicare Occupational Therapist Provider

Marissa Fullard, is a medicare enrolled "Occupational Therapist" provider in Manning, South Carolina. Her current practice location is 297 W Boyce St, Manning, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 433-9001.

Marissa Fullard is licensed to practice in South Carolina (license number 7409) 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 1124840798.

Contact Information

	Marissa Fullard,
	297 W Boyce St, Manning, SC 29102-3004
	(803) 433-9001
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Marissa Fullard
Gender	Female
Speciality	Occupational Therapist
Location	297 W Boyce St, Manning, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124840798
Provider Enumeration Date: 10/25/2024
Last Update Date: 10/25/2024

Medicare PECOS Information:

PECOS PAC ID: 7113453812
Enrollment ID: I20241204003990

Medical Identifiers

Medical identifiers for Marissa Fullard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124840798	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	7409 (South Carolina)	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. Marissa Fullard allows following entities to bill medicare on her behalf.

Provider Name	Southern Lakes Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1700212420 PECOS PAC ID: 3779711031 Enrollment ID: O20140113000282

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. Marissa Fullard 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
Marissa Fullard, 1395 Airport Rd, Sumter, SC 29153-8784 Ph: (770) 519-0979	Marissa Fullard, 297 W Boyce St, Manning, SC 29102-3004 Ph: (803) 433-9001

Reviews and Comments

Occupational Therapist in Manning, SC

Courtney Sennett, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1051 Blue Heron Pt, Manning, SC 29102 Phone: 570-971-8764
Kristin J Lee, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 305 Plantation Dr, Manning, SC 29102 Phone: 434-420-4411
Dr. Charlene G Lenker, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3147 Sumter Hwy, Manning, SC 29102 Phone: 803-478-2323
Edward Hussey Cornell, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10 E Hospital St, Manning, SC 29102 Phone: 803-435-3162 Fax: 803-435-3163
Allison Mcgee, MS, OTR/L,CHES Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 50 E Hospital St, Manning, SC 29102 Phone: 803-435-3162
Robin Mcaleer Prothro, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1052 Canterberry Drive, Manning, SC 29102 Phone: 803-225-5909

Marissa Fullard, - Medicare Occupational Therapist in Manning, SC