Audrey Rozeman Fuller, NP in Atlanta, GA - Medicare Nurse Practitioner

Audrey Rozeman Fuller, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Atlanta, Georgia. She graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Endocrinology Consultants Of East Tn, University Health System, Inc. and her current practice location is 1110 W Peachtree St Nw Ste 1100, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 892-2131.

Audrey Rozeman Fuller is licensed to practice in Georgia (license number 290871) 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 1104462316.

Contact Information

	Audrey Rozeman Fuller, NP
	1110 W Peachtree St Nw Ste 1100, Atlanta, GA 30309-3609
	(404) 892-2131
	(404) 215-9222

Map and Direction

Provider's Profile

Full Name	Audrey Rozeman Fuller
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	1110 W Peachtree St Nw Ste 1100, Atlanta, Georgia
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:

Audrey Rozeman Fuller graduated from nursing school in 2019

NPI Data:

NPI Number: 1104462316
Provider Enumeration Date: 11/22/2019
Last Update Date: 06/18/2025

Medicare PECOS Information:

PECOS PAC ID: 4082040241
Enrollment ID: I20241114003561

Medical Identifiers

Medical identifiers for Audrey Rozeman Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104462316	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	290871 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Endocrinology Consultants Of East Tn	1951371525	36
University Health System, Inc.	5294646378	562

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. Audrey Rozeman Fuller allows following entities to bill medicare on her behalf.

Entity Name	University Health System, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790738763 PECOS PAC ID: 5294646378 Enrollment ID: O20031111000809

Entity Name	Endocrinology Consultants Of East Tn
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730395104 PECOS PAC ID: 1951371525 Enrollment ID: O20040729001521

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. Audrey Rozeman 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
Audrey Rozeman Fuller, NP 1110 W Peachtree St Nw Ste 1100, Atlanta, GA 30309-3609 Ph: () -	Audrey Rozeman Fuller, NP 1110 W Peachtree St Nw Ste 1100, Atlanta, GA 30309-3609 Ph: (404) 892-2131

Reviews and Comments

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Audrey Rozeman Fuller, NP - Medicare Nurse Practitioner in Atlanta, GA