Keydella Fuller, APN in Old Bridge, NJ - Medicare Nurse Practitioner

Keydella Fuller, APN is a medicare enrolled "Nurse Practitioner - Family" in Old Bridge, New Jersey. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice University Of Florida Jacksonville Physicians, Inc. and her current practice location is 21 Angela Dr, Ste 202, Old Bridge, New Jersey. You can reach out to her office (for appointments etc.) via phone at (732) 908-4522.

Keydella Fuller is licensed to practice in Florida (license number 11012620) 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 1053855809.

Contact Information

	Keydella Fuller, APN
	21 Angela Dr, Ste 202, Old Bridge, NJ 08857-1986
	(732) 908-4522
	Not Available

Map and Direction

Provider's Profile

Full Name	Keydella Fuller
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	21 Angela Dr, Old Bridge, New Jersey
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Keydella Fuller graduated from nursing school in 2017

NPI Data:

NPI Number: 1053855809
Provider Enumeration Date: 12/13/2016
Last Update Date: 11/02/2022

Medicare PECOS Information:

PECOS PAC ID: 8123303047
Enrollment ID: I20211104002542

Medical Identifiers

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

Identifier	Type	State	Issuer
1053855809	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	26NJ00692900 (New Jersey)	Secondary
363LF0000X	Nurse Practitioner - Family	11012620 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Shands Jacksonville	Jacksonville, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Florida Jacksonville Physicians, Inc.	9133025869	644

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. Keydella Fuller allows following entities to bill medicare on her behalf.

Entity Name	University Of Florida Jacksonville Physicians, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144276452 PECOS PAC ID: 9133025869 Enrollment ID: O20040128000786

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. Keydella 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
Keydella Fuller, APN 599 Rte 37 W Ste 5, Toms River, NJ 08755-8011 Ph: (732) 608-9737	Keydella Fuller, APN 21 Angela Dr, Ste 202, Old Bridge, NJ 08857-1986 Ph: (732) 908-4522

Reviews and Comments

Nurse Practitioner Nurses in Old Bridge, NJ

Mrs. Patricia K Zdan, RN, MSN, CCRN, APN-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 499 Marlboro Rd, Suite 1, Old Bridge, NJ 08857 Phone: 732-360-9600 Fax: 732-360-9700
Rincy Jacob, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 26 Throckmorton Ln, Old Bridge, NJ 08857 Phone: 732-679-9950
Cassendra Lormil, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3 Hospital Plz Ste 208, Old Bridge, NJ 08857 Phone: 732-360-2700 Fax: 732-360-2703
Taylor Anne Bruns, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16 Woodcrest Dr, Old Bridge, NJ 08857 Phone: 347-850-5711
Irina Novikov, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3663 Route 9 North, Suite #103, Old Bridge, NJ 08857 Phone: 732-970-8700
Candice Robertson, MSN, APN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 21 Angela Dr Suite 202, Old Bridge, NJ 08857 Phone: 732-908-4522

Keydella Fuller, APN - Medicare Nurse Practitioner in Old Bridge, NJ