Katy Fuqua Fuqua, in Bristol, TN - Medicare Registered Dietitian Or Nutrition Professional Provider

Katy Fuqua Fuqua, is a medicare enrolled "Dietitian, Registered" provider in Bristol, Tennessee. She graduated from medical school in 2008 and has 17 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice Nourish, Inc. and her current practice location is 1019 Florida Ave, Bristol, Tennessee. You can reach out to her office (for appointments etc.) via phone at (615) 513-8795.

Katy Fuqua Fuqua is licensed to practice in Tennessee (license number 0000002180) 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 1538730304.

Contact Information

	Katy Fuqua Fuqua,
	1019 Florida Ave, Bristol, TN 37620-4015
	(615) 513-8795
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Katy Fuqua Fuqua
Gender	Female
Speciality	Registered Dietitian Or Nutrition Professional
Experience	17 Years
Location	1019 Florida Ave, Bristol, Tennessee
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:

Katy Fuqua Fuqua graduated from medical school in 2008

NPI Data:

NPI Number: 1538730304
Provider Enumeration Date: 07/02/2021
Last Update Date: 07/08/2024

Medicare PECOS Information:

PECOS PAC ID: 3274931761
Enrollment ID: I20241001003918

Medical Identifiers

Medical identifiers for Katy Fuqua Fuqua such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538730304	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	0000002180 (Tennessee)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Nourish, Inc.	1557724937	251

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. Katy Fuqua Fuqua allows following entities to bill medicare on her behalf.

Provider Name	Nourish, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471

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. Katy Fuqua Fuqua 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
Katy Fuqua Fuqua, 1019 Florida Ave, Bristol, TN 37620-4015 Ph: (615) 513-8795	Katy Fuqua Fuqua, 1019 Florida Ave, Bristol, TN 37620-4015 Ph: (615) 513-8795

Reviews and Comments

Dietitian, Registered in Bristol, TN

Mrs. Angela Lynn Conner, MS,RD,LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Park Blvd, Bristol, TN 37620 Phone: 423-844-1121 Fax: 423-844-3820
Mrs. Brandy Paige Schrenker, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 28 Midway St, Bristol, TN 37620 Phone: 423-573-9873 Fax: 423-573-9875
Ms. Candace Yonts Osborne, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 402 Bluff City Hwy Apt 147, Bristol, TN 37620 Phone: 276-525-0769

Katy Fuqua Fuqua, - Medicare Dietitian in Bristol, TN