Nicole Kathleen Fuller, RD in Grand Junction, CO - Medicare Dietitian, Registered Provider

Nicole Kathleen Fuller, RD is a medicare enrolled "Dietitian, Registered" provider in Grand Junction, Colorado. Her current practice location is 2873 Fall Creek Dr, Grand Junction, Colorado. You can reach out to her office (for appointments etc.) via phone at (970) 640-8023.

Nicole Kathleen Fuller is licensed to practice in * (Not Available) (license number ) 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 1881362663.

Contact Information

	Nicole Kathleen Fuller, RD
	2873 Fall Creek Dr, Grand Junction, CO 81503-3057
	(970) 640-8023
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole Kathleen Fuller
Gender	Female
Speciality	Dietitian, Registered
Location	2873 Fall Creek Dr, Grand Junction, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881362663
Provider Enumeration Date: 09/05/2021
Last Update Date: 09/05/2021

Medicare PECOS Information:

PECOS PAC ID: 7416312103
Enrollment ID: I20230502003237

Medical Identifiers

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

Identifier	Type	State	Issuer
1881362663	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	(* (Not Available))	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. Nicole Kathleen Fuller allows following entities to bill medicare on her behalf.

Provider Name	Fuller Health & Nutrition Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1487350799 PECOS PAC ID: 6901262179 Enrollment ID: O20230512001062

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. Nicole Kathleen 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
Nicole Kathleen Fuller, RD 2873 Fall Creek Dr, Grand Junction, CO 81503-3057 Ph: (970) 640-8023	Nicole Kathleen Fuller, RD 2873 Fall Creek Dr, Grand Junction, CO 81503-3057 Ph: (970) 640-8023

Reviews and Comments

Dietitian, Registered in Grand Junction, CO

Jeanette Marie Durham, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 831 Colorado Ave, Grand Junction, CO 81501 Phone: 970-243-2907 Fax: 970-243-0170
Pinnacle Home Healthcare And Wellness Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 436 City View Ln, Grand Junction, CO 81507 Phone: 970-270-3531
Ms. Debra Jean Grein, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2121 North Ave, Grand Junction, CO 81501 Phone: 970-242-0731
Vanessa R Carter, R.D. Dietitian Medicare: Accepting Medicare Assignments Practice Location: 3150 N 12th St, Grand Junction, CO 81506 Phone: 970-255-1576 Fax: 970-254-2398
Nancy Margaret Leonard, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2121 North Ave, Grand Junction, CO 81501 Phone: 970-242-0731
Mrs. Erin Brooke Van Why, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 710 Wellington Ave, Grand Junction, CO 81501 Phone: 970-298-7106 Fax: 970-298-7177
James Roche, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2139 N 12th St Ste 7, Grand Junction, CO 81501 Phone: 970-256-8449

Nicole Kathleen Fuller, RD - Medicare Dietitian in Grand Junction, CO