Mary Jane Fullwood, MD - Medicare Family Practice in Selmer, TN

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Mary Jane Fullwood, MD is a medicare enrolled "Family Medicine" physician in Selmer, Tennessee. She went to University Of Tennessee, Hsc, College Of Medicine and graduated in 2016 and has 9 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Trinity Medical Clinic, Llc and her current practice location is 832 Mulberry Ave, Selmer, Tennessee. You can reach out to her office (for appointments etc.) via phone at (731) 434-0200.

Mary Jane Fullwood is licensed to practice in Tennessee (license number 56645) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1306208954.

Contact Information

Mary Jane Fullwood, MD
832 Mulberry Ave,
Selmer, TN 38375-2334
(731) 434-0200
(731) 434-0203

Map and Direction




Physician's Profile

Full NameMary Jane Fullwood
GenderFemale
SpecialityFamily Practice
Experience9 Years
Location832 Mulberry Ave, Selmer, Tennessee
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mary Jane Fullwood attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 2016
  NPI Data:
  • NPI Number: 1306208954
  • Provider Enumeration Date: 03/23/2016
  • Last Update Date: 12/22/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1254624554
  • Enrollment ID: I20191030000848

Medical Identifiers

Medical identifiers for Mary Jane Fullwood such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306208954NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 56645 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Magnolia Regional Health CenterCorinth, MSHospital
Hardin Medical CenterSavannah, TNHospital
Jackson-madison County General HospitalJackson, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Trinity Medical Clinic, Llc53958029123

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. Mary Jane Fullwood allows following entities to bill medicare on her behalf.
Entity NameTrinity Medical Clinic, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013156629
PECOS PAC ID: 5395802912
Enrollment ID: O20090326000481

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. Mary Jane Fullwood 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 AddressPractice Location Address
Mary Jane Fullwood, MD
832 Mulberry Ave,
Selmer, TN 38375-2334

Ph: (731) 434-0200		Mary Jane Fullwood, MD
832 Mulberry Ave,
Selmer, TN 38375-2334

Ph: (731) 434-0200

Reviews and Comments


Family Medicine Doctors in Selmer, TN

Sarah Bergman, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 270 E Court Ave, Selmer, TN 38375
Phone: 731-541-9490    
James Darrel King, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1 Prime Care Dr, Selmer, TN 38375
Phone: 731-645-7932    Fax: 731-645-5195
William Andrew Eason, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 270 E Court Ave, Selmer, TN 38375
Phone: 731-645-7932    Fax: 731-645-5195

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.