Teresa Fullen, FNP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Marion, Virginia. She graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mount Rogers Community Services and her current practice location is
216 Hospital Ave, Marion, Virginia. You can reach out to her office (for appointments etc.) via phone at
(276) 783-8185.
Teresa Fullen is licensed to practice in Virginia (license number 0024168776) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1578880647.
Physician's Profile
| Full Name | Teresa Fullen |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 15 Years |
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| Location | 216 Hospital Ave, Marion, Virginia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Teresa Fullen graduated from medical school in 2009
NPI Data:
- NPI Number: 1578880647
- Provider Enumeration Date: 04/28/2010
- Last Update Date: 01/22/2020
Medicare PECOS Information:
- PECOS PAC ID: 5991838476
- Enrollment ID: I20100804000677
Medical Identifiers
Medical identifiers for Teresa Fullen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1578880647 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | 0001138223 (Virginia) | Secondary |
| 364SF0001X | Clinical Nurse Specialist - Family Health | 0024168776 (Virginia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 0024168776 (Virginia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Mount Rogers Community Services | 1254387475 | 15 |
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. Teresa Fullen allows following entities to bill medicare on her behalf.
| Entity Name | Mount Rogers Community Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255365599
PECOS PAC ID: 1254387475
Enrollment ID: O20050510001179 |
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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. Teresa Fullen 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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Teresa Fullen, FNP-C
Po Box 729,
Saltville, VA 24370-0729
Ph: (276) 496-4492 | Teresa Fullen, FNP-C
216 Hospital Ave,
Marion, VA 24354-3157
Ph: (276) 783-8185 |
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