Adam K Fuller, PHD in Evanston, WY - Medicare Psychologist Provider

Adam K Fuller, PHD is a medicare enrolled "Psychologist - Clinical" provider in Evanston, Wyoming. His current practice location is 191 Overthrust Rd, Evanston, Wyoming. You can reach out to his office (for appointments etc.) via phone at (435) 631-9918.

Adam K Fuller is licensed to practice in Wyoming (license number 306) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1255476131.

Contact Information

	Adam K Fuller, PHD
	191 Overthrust Rd, Evanston, WY 82930-9261
	(435) 631-9918
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Adam K Fuller
Gender	Male
Speciality	Psychologist - Clinical
Location	191 Overthrust Rd, Evanston, Wyoming
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255476131
Provider Enumeration Date: 02/20/2007
Last Update Date: 03/29/2018

Medicare PECOS Information:

PECOS PAC ID: 9537206230
Enrollment ID: I20091029000372

Medical Identifiers

Medical identifiers for Adam K Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255476131	NPI	-	NPPES
118774100	Medicaid	WY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	306 (Wyoming)	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. Adam K Fuller allows following entities to bill medicare on his behalf.

Entity Name	High Desert Psychology And Wellness
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194226266 PECOS PAC ID: 4587929344 Enrollment ID: O20180525001190

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. Adam K Fuller 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
Adam K Fuller, PHD 235 Hayden Ave, Evanston, WY 82930-5606 Ph: (435) 631-9918	Adam K Fuller, PHD 191 Overthrust Rd, Evanston, WY 82930-9261 Ph: (435) 631-9918

Reviews and Comments

Psychologist in Evanston, WY

Dr. Pamela R Fuller, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 724 Front Street Suite 230, Evanston, WY 82930 Phone: 307-789-6773 Fax: 307-789-3244
Mikaela Bernthaler, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 50 Allegiance Cir, Evanston, WY 82930 Phone: 307-789-3710 Fax: 307-789-0823
Dr. Lauren Silberstein, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 50 Allegiance Cir, Evanston, WY 82930 Phone: 307-789-3710 Fax: 307-789-0823
Candyce Lynn Shields, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 831 State Highway 150 S, Evanston, WY 82930 Phone: 307-789-3464 Fax: 307-789-7373
Dr. Juliet L Jett, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 724 Front Street, Suite 230, Evanston, WY 82930 Phone: 307-789-6773 Fax: 307-789-3244
Suzanne Petren, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 50 Allegiance Cir, Evanston, WY 82930 Phone: 307-789-3710 Fax: 307-789-0823

Adam K Fuller, PHD - Medicare Psychologist in Evanston, WY