Dana Fuller, FNP is a medicare enrolled "Family Medicine" in Clinton, South Carolina. Her current practice location is
300 Plaza Cir Ste E, Clinton, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(864) 938-9690.
Dana Fuller is licensed to practice in South Carolina (license number 22692) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1578125837.
Provider's Profile
| Full Name | Dana Fuller |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 300 Plaza Cir Ste E, Clinton, South Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1578125837
- Provider Enumeration Date: 07/07/2019
- Last Update Date: 03/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 4183140544
- Enrollment ID: I20250429001011
Medical Identifiers
Medical identifiers for Dana Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578125837 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 22692 (South Carolina) | Secondary |
| 207Q00000X | Family Medicine | 22692 (South Carolina) | Primary |
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. Dana Fuller allows following entities to bill medicare on her behalf.
| Entity Name | Carolina Family Medicine Of Laurens County Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649470964
PECOS PAC ID: 3375602048
Enrollment ID: O20081110000661 |
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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. Dana 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 |
|---|
Dana Fuller, FNP
300 Plaza Cir Ste E,
Clinton, SC 29325-7557
Ph: (864) 938-9690 | Dana Fuller, FNP
300 Plaza Cir Ste E,
Clinton, SC 29325-7557
Ph: (864) 938-9690 |
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