Jared Austin Fulgham, CCC-SLP in Logan, UT - Medicare Qualified Speech Language Pathologist Provider

Jared Austin Fulgham, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Logan, Utah. He graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Qualified Speech Language Pathologist. He is a member of the group practice Utah State University and his current practice location is 6410 Old Main Hl, Logan, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 797-1375.

Jared Austin Fulgham is licensed to practice in Utah (license number 9451387-4102) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1659932275.

Contact Information

	Jared Austin Fulgham, CCC-SLP
	6410 Old Main Hl, Logan, UT 84322-6410
	(435) 797-1375
	(844) 308-5865

Map and Direction

Healthcare Provider's Profile

Full Name	Jared Austin Fulgham
Gender	Male
Speciality	Qualified Speech Language Pathologist
Experience	9 Years
Location	6410 Old Main Hl, Logan, Utah
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jared Austin Fulgham graduated from medical school in 2015

NPI Data:

NPI Number: 1659932275
Provider Enumeration Date: 06/25/2019
Last Update Date: 06/25/2019

Medicare PECOS Information:

PECOS PAC ID: 5597094284
Enrollment ID: I20190905001244

Medical Identifiers

Medical identifiers for Jared Austin Fulgham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659932275	NPI	-	NPPES
9451387-4102	Other	UT	STATE LICENSE
SLP-3236	Other	ID	STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	9451387-4102 (Utah)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Utah State University	3476715491	7

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. Jared Austin Fulgham allows following entities to bill medicare on his behalf.

Provider Name	Utah State University
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1235374984 PECOS PAC ID: 3476715491 Enrollment ID: O20120508000468

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. Jared Austin Fulgham 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
Jared Austin Fulgham, CCC-SLP 6410 Old Main Hl, Logan, UT 84322-6410 Ph: (435) 797-1375	Jared Austin Fulgham, CCC-SLP 6410 Old Main Hl, Logan, UT 84322-6410 Ph: (435) 797-1375

Reviews and Comments

Speech-Language Pathologist in Logan, UT

Megan Israelsen, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 356 N 300 W Apt 6, Logan, UT 84321 Phone: 303-829-2796
Ari Watt, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1480 N 400 E, Logan, UT 84341 Phone: 435-750-5501
Kathryn S Gantz, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1400 N 500 E, Logan, UT 84341 Phone: 435-716-1000
Karlee Larsen Workman, MA, SLP-CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 730 N 200 E, Logan, UT 84321 Phone: 801-367-8049
Leigh Stott, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1000 Old Main Hl, Logan, UT 84322 Phone: 435-797-1346
Mikenzi Ford, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 500 E 1400 N, Logan, UT 84341 Phone: 435-716-1000
Mr. Brian Dean Sater, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 225 N 200 W, Logan, UT 84321 Phone: 435-716-8535

Jared Austin Fulgham, CCC-SLP - Medicare Speech-Language Pathologist in Logan, UT