JARED AUSTIN FULGHAM CCC-SLP
NPI 1659932275
Speech-Language Pathologist in Logan, UT

NPI Status: Active since June 25, 2019

Contact Information

6410 OLD MAIN HL
LOGAN, UT
ZIP 84322
Phone: (435) 797-1375
Fax: (844) 308-5865

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  • Individual
  • Male
  • Years of Experience 11
  • Speech-Language Pathologist
  • Accepts Insurance
  • Accepts Medicare Approved Payment

About JARED FULGHAM

This page provides the complete NPI Profile along with additional information for Jared Fulgham, a provider established in Logan, Utah with a medical specialization in Speech-language Pathologist and more than 11 years of experience. The healthcare provider is registered in the NPI registry with number 1659932275 assigned on June 2019. The practitioner's primary taxonomy code is 235Z00000X with license number 9451387-4102 (UT). The provider is registered as an individual and his NPI record was last updated 7 years ago.

NPI
1659932275
Provider Name
JARED AUSTIN FULGHAM CCC-SLP
Gender
Male
Entity Type
Individual
Location Address
6410 OLD MAIN HL LOGAN, UT 84322
Location Phone
(435) 797-1375
Location Fax
(844) 308-5865
Mailing Address
6410 OLD MAIN HL LOGAN, UT 84322
Mailing Phone
(435) 797-1375
Mailing Fax
(844) 308-5865
Medical School Name
OTHER
Graduation Year
2015
Is Sole Proprietor?
No
Enumeration Date
06-25-2019
Last Update Date
06-25-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Speech-Language Pathologist

Taxonomy Code
235Z00000X
Type
Speech, Language and Hearing Service Providers
License No.
9451387-4102
License State
UT
Taxonomy Description
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BridgeSpan Standard Bronze Plan - HMO
  • BridgeSpan Standard Gold Plan - HMO
  • BridgeSpan Standard Silver Plan - HMO
  • Molina Gold Core 1640 - HMO
  • Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
  • Molina Gold Standard - HMO
  • Molina Silver Core - HMO
  • Molina Silver Core Plus with Adult Dental and Vision - HMO
  • Molina Silver Core Plus with Adult Vision - HMO
  • Molina Silver Saver with Four Free PCP Visits - HMO
  • Molina Silver Standard - HMO
  • Bronze 8000 - EPO
  • Bronze Essential 9000 Deductible With 4 Copay No Deductible Office Visits - EPO
  • Bronze HSA 7000 - EPO
  • Gold 2300 - EPO
  • Regence Standard Bronze 7500 - EPO
  • Regence Standard Gold 2000 - EPO
  • Regence Standard Silver 6000 - EPO
  • Silver 6500 - EPO
  • Healthy Premier Bronze HSA - EPO
  • Healthy Premier Expanded Bronze Standard - EPO
  • Healthy Premier Gold Copay Office Visits - EPO
  • Healthy Premier Gold Standard - EPO
  • Healthy Premier Silver Copay Office Visits - EPO
  • Healthy Premier Silver Standard - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
9451387-4102OTHER (01)UTSTATE LICENSE
SLP-3236OTHER (01)IDSTATE LICENSE

Medicare Participation & PECOS Enrollment Status

Jared Fulgham is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 5597094284

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20190905001244

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1659932275, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
9
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
3
Unchanged
Pos 7
2
Doubled → 4
Pos 8
2
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 9 → 18 → 9 2 → 4 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 0 + 9 + 1 + 8 + 3 + 4 + 2 + 1 + 4 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1659932275.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Audiologist
6410 OLD MAIN HL
LOGAN, UT 84322
Audiologist
6410 OLD MAIN HL
LOGAN, UT 84322
Speech-Language Pathologist
6410 OLD MAIN HL
LOGAN, UT 84322
Speech-Language Pathologist
6410 OLD MAIN HL
LOGAN, UT 84322
Audiologist
6410 OLD MAIN HL
LOGAN, UT 84322
Speech-Language Pathologist
6410 OLD MAIN HL
LOGAN, UT 84322
Audiologist
6410 OLD MAIN HL
LOGAN, UT 84322
Speech-Language Pathologist
6410 OLD MAIN HL
LOGAN, UT 84322
Speech-Language Pathologist
6410 OLD MAIN HL
LOGAN, UT 84322
Speech-Language Pathologist
6410 OLD MAIN HL
LOGAN, UT 84322

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659932275, enumerated as an "individual" on June 25, 2019.

The provider is located at 6410 OLD MAIN HL LOGAN, UT 84322 and the phone number is (435) 797-1375.

Speech-Language Pathologist with taxonomy code 235Z00000X.

The provider might be accepting Accepts: BridgeSpan Health Company, Molina Healthcare,. Please consult your insurance carrier or call the provider to verify.