Dr Constance Fullwood, PHNL, PMHNP-BC - Medicare Nurse Practitioner in Long Island City, NY

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Dr Constance Fullwood, PHNL, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Long Island City, New York. She graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Upper Manhattan Mental Health Center, Inc. and her current practice location is 36-11 21st St, Long Island City, New York. You can reach out to her office (for appointments etc.) via phone at (718) 482-7772.

Dr Constance Fullwood is licensed to practice in New York (license number F405449-01) 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 1134798663.

Contact Information

Dr Constance Fullwood, PHNL, PMHNP-BC
36-11 21st St,
Long Island City, NY 11106-4505
(718) 482-7772
(718) 482-9648

Map and Direction




Provider's Profile

Full NameDr Constance Fullwood
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location36-11 21st St, Long Island City, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Constance Fullwood graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1134798663
  • Provider Enumeration Date: 06/19/2021
  • Last Update Date: 08/05/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 3870944788
  • Enrollment ID: I20241210003401

Medical Identifiers

Medical identifiers for Dr Constance Fullwood such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134798663NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health RN250856 (Massachusetts)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health F405449-01 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Upper Manhattan Mental Health Center, Inc.569866972910

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. Dr Constance Fullwood allows following entities to bill medicare on her behalf.
Entity NameUpper Manhattan Mental Health Center, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053335620
PECOS PAC ID: 5698669729
Enrollment ID: O20040210000972
Entity NameUnited Helpers Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932938479
PECOS PAC ID: 2264408426
Enrollment ID: O20040908001427

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. Dr Constance Fullwood 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 AddressPractice Location Address
Dr Constance Fullwood, PHNL, PMHNP-BC
1125 West St # 401,
Annapolis, MD 21401-4198

Ph: (410) 934-3494		Dr Constance Fullwood, PHNL, PMHNP-BC
36-11 21st St,
Long Island City, NY 11106-4505

Ph: (718) 482-7772

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.