Selena Fuller, NP is a medicare enrolled "Nurse Practitioner - Family" physician in Kennesaw, Georgia. She graduated from medical school in 2011 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Piedmont Professional Services Llc and 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 | Nurse Practitioner |
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| Experience | 15 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. |
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Medical Education and Training:
- Selena Fuller graduated from medical school in 2011
NPI Data:
- NPI Number: 1598102733
- Provider Enumeration Date: 05/29/2013
- Last Update Date: 04/28/2025
Medicare PECOS Information:
- PECOS PAC ID: 5597908277
- Enrollment ID: I20130828000271
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 |
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| 207Q00000X | Family Medicine | RN172405 (Georgia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | RN172405 (Georgia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Piedmont Professional Services Llc | 8921176231 | 161 |
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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