Cassey Jo Fuller, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Mason City, Iowa. Her current practice location is
1010 4th St Sw Ste 340, Mason City, Iowa. You can reach out to her office (for appointments etc.) via phone at
(641) 428-7766.
Cassey Jo 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 1396434718.
Physician's Profile
| Full Name | Cassey Jo Fuller |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1010 4th St Sw Ste 340, Mason City, Iowa |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1396434718
- Provider Enumeration Date: 05/02/2023
- Last Update Date: 04/20/2026
Medicare PECOS Information:
- PECOS PAC ID: 3870953441
- Enrollment ID: I20230713002850
Medical Identifiers
Medical identifiers for Cassey Jo Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396434718 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | DO.4577 (Alabama) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Cassey Jo 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 |
|---|
Cassey Jo Fuller,
600 1st St Nw Ste 101,
Mason City, IA 50401-2932
Ph: () - | Cassey Jo Fuller,
1010 4th St Sw Ste 340,
Mason City, IA 50401-2856
Ph: (641) 428-7766 |
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