| Linda Marie Fuller, ANP, CDE | |
|
701 Seneca St Ste 646c, Buffalo, NY 14210-1351 | |
| (716) 995-4450 | |
| Not Available |
| Full Name | Linda Marie Fuller |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 701 Seneca St Ste 646c, Buffalo, New York |
| 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 |
|---|---|---|---|
| 1609045343 | NPI | - | NPPES |
| 369389-1 | Other | NY | NYS NURSING LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 369389-1 (New York) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 306314 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Vna Of Western Ny Chha | Williamsville, NY | Home health agency |
| Brooks-tlc Hospital System, Inc | Dunkirk, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lake Erie Medical Services Pc | 8123278215 | 9 |
| General Physician Pc | 9537213079 | 450 |
| Entity Name | General Physician Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093959322 PECOS PAC ID: 9537213079 Enrollment ID: O20090818000154 |
| Entity Name | Lake Erie Medical Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437406931 PECOS PAC ID: 8123278215 Enrollment ID: O20121026000004 |
| Mailing Address | Practice Location Address |
|---|---|
| Linda Marie Fuller, ANP, CDE 515 Swan Street, Dunkirk, NY 14048-9766 Ph: (716) 366-7331 | Linda Marie Fuller, ANP, CDE 701 Seneca St Ste 646c, Buffalo, NY 14210-1351 Ph: (716) 995-4450 |
Mr. V. Thomas Chapin, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 462 Grider St, Buffalo, NY 14215 Phone: 716-898-3000 | |
Beth Lyn Vaccarelli, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 701 Seneca St Ste 646c, Buffalo, NY 14210 Phone: 716-995-4450 | |
Ms. Denise Marie Donahue, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 High St, Buffalo, NY 14203 Phone: 716-859-5600 | |
Mr. Jerry L Corp Ii, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 255 Delaware Ave, Buffalo, NY 14202 Phone: 716-884-0888 | |
Stephanie Erin Myszka, F.N.P.- BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Elm And Carlton St, Buffalo, NY 14263 Phone: 716-845-2300 | |
Jessica Lynn Hafezi, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Elm And Carlton Streets, Buffalo, NY 14263 Phone: 716-845-2300 | |
Yevgeniya S Lipina, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 701 Seneca St Ste 646c, Buffalo, NY 14210 Phone: 716-995-4450 Fax: 844-206-7424 |