Joshua Campbell Fulwiler, PHD in Tupelo, MS - Medicare Psychologist Provider

Joshua Campbell Fulwiler, PHD is a medicare enrolled "Psychologist - Clinical" provider in Tupelo, Mississippi. His current practice location is 2625 Traceland Dr Ste B, Tupelo, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 269-3599.

Joshua Campbell Fulwiler is licensed to practice in Mississippi (license number 581025) 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 1841674645.

Contact Information

	Joshua Campbell Fulwiler, PHD
	2625 Traceland Dr Ste B, Tupelo, MS 38801-4240
	(662) 269-3599
	(662) 259-2503

Map and Direction

Healthcare Provider's Profile

Full Name	Joshua Campbell Fulwiler
Gender	Male
Speciality	Psychologist - Clinical
Location	2625 Traceland Dr Ste B, Tupelo, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841674645
Provider Enumeration Date: 07/13/2015
Last Update Date: 09/23/2019

Medicare PECOS Information:

PECOS PAC ID: 8628311073
Enrollment ID: I20190816000349

Medical Identifiers

Medical identifiers for Joshua Campbell Fulwiler such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841674645	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	581025 (Mississippi)	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. Joshua Campbell Fulwiler allows following entities to bill medicare on his behalf.

Entity Name	Cardinal Clinical Consulting, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417514274 PECOS PAC ID: 2163765504 Enrollment ID: O20190528001502

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. Joshua Campbell Fulwiler 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
Joshua Campbell Fulwiler, PHD 152 Highway 7 S, Oxford, MS 38655-5392 Ph: (662) 234-7521	Joshua Campbell Fulwiler, PHD 2625 Traceland Dr Ste B, Tupelo, MS 38801-4240 Ph: (662) 269-3599

Reviews and Comments

Psychologist in Tupelo, MS

Michael Tennis Oliver, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4579 S Eason Blvd, Tupelo, MS 38801 Phone: 662-377-3161 Fax: 662-377-2993
Dr. William T Dalton Iii, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 942 Commonwealth Blvd, Tupelo, MS 38804 Phone: 662-620-0101 Fax: 662-620-0095
Dr. Margaret Koranek, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 211 N Madison St, Tupelo, MS 38804 Phone: 662-840-2711 Fax: 662-844-9837
Dr. Joe Edward Morris, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1018 North Gloster, Tupelo, MS 38804 Phone: 662-844-3065 Fax: 662-842-3447
Susan Patrice Hyatt, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4579 S Eason Blvd, Tupelo, MS 38801 Phone: 662-377-3161 Fax: 662-377-2993
Mary Cecille Goysich, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 4579 S Eason Blvd, Tupelo, MS 38801 Phone: 662-377-3161 Fax: 662-377-2993
Louis Masur Iii, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2434 S Eason Blvd, Tupelo, MS 38804 Phone: 662-504-4382 Fax: 662-680-6416

Joshua Campbell Fulwiler, PHD - Medicare Psychologist in Tupelo, MS