Jeremy Alex Fuller, NP in Mauldin, SC - Medicare Nurse Practitioner

Jeremy Alex Fuller, NP is a medicare enrolled "Nurse Practitioner - Family" in Mauldin, South Carolina. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Palmetto Internal Medicine And Primary Care, Pa and his current practice location is 300 W Butler Rd, Mauldin, South Carolina. You can reach out to his office (for appointments etc.) via phone at (864) 991-9016.

Jeremy Alex Fuller is licensed to practice in South Carolina (license number 23635) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1841821162.

Contact Information

	Jeremy Alex Fuller, NP
	300 W Butler Rd, Mauldin, SC 29662-2585
	(864) 991-9016
	Not Available

Map and Direction

Provider's Profile

Full Name	Jeremy Alex Fuller
Gender	Male
Speciality	Nurse Practitioner
Experience	5 Years
Location	300 W Butler Rd, Mauldin, South Carolina
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jeremy Alex Fuller graduated from nursing school in 2019

NPI Data:

NPI Number: 1841821162
Provider Enumeration Date: 01/27/2020
Last Update Date: 02/07/2022

Medicare PECOS Information:

PECOS PAC ID: 4082041660
Enrollment ID: I20200220000004

Medical Identifiers

Medical identifiers for Jeremy Alex Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841821162	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	23635 (South Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Palmetto Internal Medicine And Primary Care, Pa	7719168723	4

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. Jeremy Alex Fuller allows following entities to bill medicare on his behalf.

Entity Name	Palmetto Internal Medicine & Primary Care, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124335898 PECOS PAC ID: 7719168723 Enrollment ID: O20110224000223

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. Jeremy Alex 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
Jeremy Alex Fuller, NP 300 W Butler Rd, Mauldin, SC 29662-2585 Ph: (864) 277-8300	Jeremy Alex Fuller, NP 300 W Butler Rd, Mauldin, SC 29662-2585 Ph: (864) 991-9016

Reviews and Comments

Nurse Practitioner Nurses in Mauldin, SC

Holly Breanne White, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 224 E Butler Rd, Mauldin, SC 29662 Phone: 866-389-2727
Erica Michelle Noone, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 W Butler Rd, Mauldin, SC 29662 Phone: 864-288-8722 Fax: 864-277-8300
Connie Mae Lenagh, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 924 E. Butler Rd, Mauldin, SC 29662 Phone: 864-234-1282
Ms. Judith Ann Dawson-weiss, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 224 E Butler Rd, Mauldin, SC 29662 Phone: 864-234-1282 Fax: 864-284-9826
Apryl Michelle Watson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 211 E Butler Rd Ste C1, Mauldin, SC 29662 Phone: 864-305-1662 Fax: 864-603-2067
Terry Lynn Verdin, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 793 E Butler Rd, Mauldin, SC 29662 Phone: 864-720-1442 Fax: 864-720-1443
Vanessa Latimer Copeland, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 434 Woodbark Ct, Mauldin, SC 29662 Phone: 864-365-5660 Fax: 864-365-5660

Jeremy Alex Fuller, NP - Medicare Nurse Practitioner in Mauldin, SC