| Melody Rene Fuller, | |
|
744 Arden Ln Ste 200, Rock Hill, SC 29732-3287 | |
| (803) 787-6453 | |
| Not Available |
| Full Name | Melody Rene Fuller |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 744 Arden Ln Ste 200, Rock Hill, South Carolina |
| 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 |
|---|---|---|---|
| 1639786932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 23579 (South Carolina) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 23579 (South Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prisma Health Urgent Care Of South Carolina Pc | 1254703788 | 130 |
| Entity Name | Ear Nose Throat & Audiology Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366632655 PECOS PAC ID: 3375568009 Enrollment ID: O20051011000962 |
| Entity Name | Woodruff Road Urgent Care Center Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598073496 PECOS PAC ID: 7911182084 Enrollment ID: O20110505000224 |
| Entity Name | Bon Secours Ambulatory Services - St. Francis, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124495643 PECOS PAC ID: 0840590931 Enrollment ID: O20151120002171 |
| Entity Name | Prisma Health Urgent Care Of South Carolina Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851000855 PECOS PAC ID: 1254703788 Enrollment ID: O20230210000249 |
| Mailing Address | Practice Location Address |
|---|---|
| Melody Rene Fuller, 520 Inner Banks Rd, Boiling Springs, SC 29316-6170 Ph: (864) 541-9363 | Melody Rene Fuller, 744 Arden Ln Ste 200, Rock Hill, SC 29732-3287 Ph: (803) 787-6453 |
Mrs. Mary Jo Barreto, APRN-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Winthrop University Health Services, Rock Hill, SC 29733 Phone: 803-323-2206 Fax: 803-323-3332 | |
Kenyate Bradley, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2450 India Hook Rd, Rock Hill, SC 29732 Phone: 803-366-7443 | |
Ms. Wanda Kaye Clark, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1151 Camden Ave, Rock Hill, SC 29732 Phone: 803-909-6363 Fax: 803-909-6364 | |
Marta Pacheco, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1617 Shetland Ln, Rock Hill, SC 29730 Phone: 540-797-4361 | |
Andrea Blakeman, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1131 Saluda St, Rock Hill, SC 29730 Phone: 803-325-7744 Fax: 803-325-1117 | |
Sarah Elizabeth Christ, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 170 Amendment Ave, Rock Hill, SC 29732 Phone: 803-324-7607 Fax: 800-332-4409 | |
Sarah Lyn Ruhland, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 197 Piedmont Blvd Ste 100, Rock Hill, SC 29732 Phone: 803-324-1950 Fax: 803-324-1933 |