Dr Aubyn Scott Fulton, PHD is a medicare enrolled "Psychologist - Clinical" provider in Angwin, California. His current practice location is
235 Mcreynolds Dr, Angwin, California. You can reach out to his office (for appointments etc.) via phone at
(707) 339-0133.
Dr Aubyn Scott Fulton is licensed to practice in California (license number PSYC 13187) 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 1093268310.
Healthcare Provider's Profile
| Full Name | Dr Aubyn Scott Fulton |
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| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 235 Mcreynolds Dr, Angwin, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1093268310
- Provider Enumeration Date: 08/03/2016
- Last Update Date: 02/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 0749563690
- Enrollment ID: I20170220001385
Medical Identifiers
Medical identifiers for Dr Aubyn Scott Fulton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1093268310 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | PSYC 13187 (California) | 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. Dr Aubyn Scott Fulton allows following entities to bill medicare on his behalf.
| Entity Name | Permanente Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710 |
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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. Dr Aubyn Scott 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 Address | Practice Location Address |
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Dr Aubyn Scott Fulton, PHD
235 Mcreynolds Dr,
Angwin, CA 94508-9746
Ph: (707) 339-0133 | Dr Aubyn Scott Fulton, PHD
235 Mcreynolds Dr,
Angwin, CA 94508-9746
Ph: (707) 339-0133 |
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