Alisha M Fuller, FNP in Middletown, NY - Medicare Nurse Practitioner

Alisha M Fuller, FNP is a medicare enrolled "Nurse Practitioner - Family" in Middletown, New York. She graduated from nursing school in 2002 and has 22 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Horizon Medical Group Pc, Middletown Medical Pc and her current practice location is 390 Crystal Run Rd, Suite 102, Middletown, New York. You can reach out to her office (for appointments etc.) via phone at (845) 692-8780.

Alisha M Fuller is licensed to practice in New York (license number 333950) 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 1083616544.

Contact Information

	Alisha M Fuller, FNP
	390 Crystal Run Rd, Suite 102, Middletown, NY 10941
	(845) 692-8780
	(845) 692-3439

Map and Direction

Provider's Profile

Full Name	Alisha M Fuller
Gender	Female
Speciality	Nurse Practitioner
Experience	22 Years
Location	390 Crystal Run Rd, Middletown, New York
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:

Alisha M Fuller graduated from nursing school in 2002

NPI Data:

NPI Number: 1083616544
Provider Enumeration Date: 08/15/2005
Last Update Date: 10/31/2008

Medicare PECOS Information:

PECOS PAC ID: 9638191950
Enrollment ID: I20060103000289

Medical Identifiers

Medical identifiers for Alisha M Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083616544	NPI	-	NPPES
02745279	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	333950 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Garnet Health Medical Center	Middletown, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Horizon Medical Group Pc	6103715529	66
Middletown Medical Pc	2567464308	141

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. Alisha M Fuller allows following entities to bill medicare on her behalf.

Entity Name	Horizon Medical Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063488179 PECOS PAC ID: 6103715529 Enrollment ID: O20040313000206

Entity Name	Middletown Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902855828 PECOS PAC ID: 2567464308 Enrollment ID: O20070208000144

Entity Name	Central Orange Physician Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558776468 PECOS PAC ID: 0749405405 Enrollment ID: O20140714000982

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. Alisha M 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
Alisha M Fuller, FNP 390 Crystal Run Rd, Suite 102, Middletown, NY 10941 Ph: (845) 692-8780	Alisha M Fuller, FNP 390 Crystal Run Rd, Suite 102, Middletown, NY 10941 Ph: (845) 692-8780

Reviews and Comments

Nurse Practitioner Nurses in Middletown, NY

Lisa Thayer, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 155 Crystal Run Rd, Middletown, NY 10941 Phone: 845-703-6999 Fax: 845-703-6297
Ms. Meleta Marie Taylor, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 155 Crystal Run Rd, Middletown, NY 10941 Phone: 845-703-6999
Katherine Grace Mcdonald, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 155 Crystal Run Rd, Middletown, NY 10941 Phone: 845-703-6999 Fax: 845-703-6297
Mr. Nearco Rodriguez, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 707 E Main St, Middletown, NY 10940 Phone: 845-333-7575 Fax: 845-333-7139
Ms. Heather Elizabeth Guinan-clark, MS, MPH, APRN, BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 155 Crystal Run Rd, Middletown, NY 10941 Phone: 845-703-6999 Fax: 845-703-6297
Erin Tondini, F-NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 Maltese Dr, Middletown, NY 10940 Phone: 845-342-4774
Deborah Sherman, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 95 Crystal Run Rd, Middletown, NY 10941 Phone: 845-703-6999 Fax: 845-703-6297

Alisha M Fuller, FNP - Medicare Nurse Practitioner in Middletown, NY