Jessica Fuller-hines, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Elizabeth City, North Carolina. She went to Jefferson Medical College Of Thomas Jefferson University and graduated in 2003 and has 21 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. She is a member of the group practice Coastal Rehabilitation Inc, Comprehensive Rehabilitation And Pain Specialists Pc and her current practice location is
135 E Rich Blvd, Elizabeth City, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(252) 333-1277.
Jessica Fuller-hines is licensed to practice in North Carolina (license number 2007-00519) 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 1790807824.
Physician's Profile
| Full Name | Jessica Fuller-hines |
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| Gender | Female |
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| Speciality | Physical Medicine And Rehabilitation |
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| Experience | 21 Years |
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| Location | 135 E Rich Blvd, Elizabeth City, North Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jessica Fuller-hines attended and graduated from Jefferson Medical College Of Thomas Jefferson University in 2003
NPI Data:
- NPI Number: 1790807824
- Provider Enumeration Date: 04/06/2007
- Last Update Date: 06/10/2013
Medicare PECOS Information:
- PECOS PAC ID: 5294827747
- Enrollment ID: I20070828000962
Medical Identifiers
Medical identifiers for Jessica Fuller-hines such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790807824 | NPI | - | NPPES |
| 5907327 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | 2007-00519 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Coastal Rehabilitation Inc | 9537071535 | 113 |
| Comprehensive Rehabilitation And Pain Specialists Pc | 9931285566 | 5 |
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. Jessica Fuller-hines allows following entities to bill medicare on her behalf.
| Entity Name | Comprehensive Rehabilitation & Pain Specialists Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578747077
PECOS PAC ID: 9931285566
Enrollment ID: O20080324000613 |
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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. Jessica Fuller-hines 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 |
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Jessica Fuller-hines, MD
135 E Rich Blvd,
Elizabeth City, NC 27909-5518
Ph: (252) 333-1277 | Jessica Fuller-hines, MD
135 E Rich Blvd,
Elizabeth City, NC 27909-5518
Ph: (252) 333-1277 |
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