Desiree Starr Fuller, FNP in Watertown, NY - Medicare Nurse Practitioner

Desiree Starr Fuller, FNP is a medicare enrolled "Nurse Practitioner - Family" in Watertown, New York. Her current practice location is 1575 Washington St, Watertown, New York. You can reach out to her office (for appointments etc.) via phone at (315) 785-4155.

Desiree Starr Fuller is licensed to practice in New York (license number 350713) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1093423352.

Contact Information

	Desiree Starr Fuller, FNP
	1575 Washington St, Watertown, NY 13601-9371
	(315) 785-4155
	(315) 779-5066

Map and Direction

Provider's Profile

Full Name	Desiree Starr Fuller
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1575 Washington St, Watertown, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093423352
Provider Enumeration Date: 11/07/2022
Last Update Date: 11/07/2022

Medicare PECOS Information:

PECOS PAC ID: 4688046691
Enrollment ID: I20230220001904

Medical Identifiers

Medical identifiers for Desiree Starr Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093423352	NPI	-	NPPES
350713	Other	NY	NYSED OP

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	350713 (New York)	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. Desiree Starr Fuller allows following entities to bill medicare on her behalf.

Entity Name	Samaritan Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598713745 PECOS PAC ID: 8123914876 Enrollment ID: O20040227000525

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. Desiree Starr 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
Desiree Starr Fuller, FNP 1575 Washington St, Watertown, NY 13601-9371 Ph: (315) 785-4155	Desiree Starr Fuller, FNP 1575 Washington St, Watertown, NY 13601-9371 Ph: (315) 785-4155

Reviews and Comments

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Desiree Starr Fuller, FNP - Medicare Nurse Practitioner in Watertown, NY