Selena Fuller, NP is a medicare enrolled "Nurse Practitioner - Family" physician in Kennesaw, Georgia. Her current practice location is
2779 Cobb Pkwy Nw, Kennesaw, Georgia. You can reach out to her office (for appointments etc.) via phone at
(678) 732-1500.
Selena Fuller is licensed to practice in Georgia (license number RN172405) 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 1598102733.
Physician's Profile
Full Name | Selena Fuller |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 2779 Cobb Pkwy Nw, Kennesaw, Georgia |
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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. |
Medical Education and Training:
- Selena Fuller attended and graduated from in
NPI Data:
- NPI Number: 1598102733
- Provider Enumeration Date: 05/29/2013
- Last Update Date: 04/28/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Selena Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1598102733 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | RN172405 (Georgia) | Secondary |
363LF0000X | Nurse Practitioner - Family | RN172405 (Georgia) | 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. Selena 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 |
Selena Fuller, NP 2779 Cobb Pkwy Nw, Kennesaw, GA 30152-3437 Ph: () - | Selena Fuller, NP 2779 Cobb Pkwy Nw, Kennesaw, GA 30152-3437 Ph: (678) 732-1500 |
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