Mark P Fuller, LCSW, SAC, ICS, in Keshena, WI - Medicare Provider

Mark P Fuller, LCSW, SAC, ICS, is a medicare enrolled "Social Worker - Clinical" provider in Keshena, Wisconsin. His current practice location is W3275 Wolf River Road, Keshena, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (715) 799-5451.

Mark P Fuller is licensed to practice in Wisconsin (license number 3082-123) 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 1780859744.

Contact Information

	Mark P Fuller, LCSW, SAC, ICS,
	W3275 Wolf River Road, Keshena, WI 54135
	(715) 799-5451
	Not Available

Healthcare Provider's Profile

Full Name	Mark P Fuller
Gender	Male
Speciality
Experience	Years
Location	W3275 Wolf River Road, Keshena, Wisconsin
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:

Mark P Fuller attended and graduated from in

NPI Data:

NPI Number: 1780859744
Provider Enumeration Date: 04/29/2008
Last Update Date: 03/18/2016

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Mark P Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780859744	NPI	-	NPPES
39691700	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	3082-123 (Wisconsin)	Primary

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. Mark P 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
Mark P Fuller, LCSW, SAC, ICS, Po Box 970, Keshena, WI 54135-0970 Ph: (715) 799-5451	Mark P Fuller, LCSW, SAC, ICS, W3275 Wolf River Road, Keshena, WI 54135 Ph: (715) 799-5451

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Mark P Fuller, LCSW, SAC, ICS, - Medicare Clinical Social Worker in Keshena, WI