| Angelia Fuller, ARNP | |
|
1750 Tree Blvd Ste 5, St Augustine, FL 32084-5719 | |
| (904) 342-0672 | |
| Not Available |
| Full Name | Angelia Fuller |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 1750 Tree Blvd Ste 5, St Augustine, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366866204 | NPI | - | NPPES |
| 102979000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | ARNP9170137 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Deland | Deland, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Monogram Health Professional Services Of Florida Llc | 0244608149 | 28 |
| Entity Name | Panacea Alliance Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326298803 PECOS PAC ID: 6002974235 Enrollment ID: O20081016000487 |
| Entity Name | West Volusia Family And Sports Medicine Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548584600 PECOS PAC ID: 1456483098 Enrollment ID: O20100719000256 |
| Entity Name | Mobile Visiting Practitioners, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265915359 PECOS PAC ID: 7810239100 Enrollment ID: O20190507002879 |
| Entity Name | Monogram Health Professional Services Of Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538883111 PECOS PAC ID: 0244608149 Enrollment ID: O20221128001413 |
| Mailing Address | Practice Location Address |
|---|---|
| Angelia Fuller, ARNP 1750 Tree Blvd Ste 5, St Augustine, FL 32084-5719 Ph: (904) 342-0672 | Angelia Fuller, ARNP 1750 Tree Blvd Ste 5, St Augustine, FL 32084-5719 Ph: (904) 342-0672 |
Dr. Lilia Diaz Pino, PH.D., ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2703 N Ponce De Leon Blvd, St Augustine, FL 32084 Phone: 866-389-2727 | |
Mrs. Yvonne Payne, ARNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 206 Ashourian Ave Ste 209, St Augustine, FL 32092 Phone: 904-800-7246 Fax: 904-299-4116 | |
Mrs. Kelly Auclair, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 316 Paseo Reyes Dr, St Augustine, FL 32095 Phone: 903-544-5800 Fax: 903-544-5800 | |
Kay Lewis Hood, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 105 Whitehall Dr, St Augustine, FL 32086 Phone: 904-800-7246 | |
Joann Fritsch, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 130 Health Park Blvd, St Augustine, FL 32086 Phone: 904-826-3469 Fax: 904-808-4608 | |
Rachel Long, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2703 N Ponce De Leon Blvd, St Augustine, FL 32084 Phone: 352-373-2507 | |
Melissa Spies, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2867 N 9th St, St Augustine, FL 32084 Phone: 904-999-7631 |