Melody Rene Fuller, in Rock Hill, SC - Medicare Nurse Practitioner

Melody Rene Fuller, is a medicare enrolled "Nurse Practitioner - Family" in Rock Hill, South Carolina. Her current practice location is 744 Arden Ln Ste 200, Rock Hill, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 787-6453.

Melody Rene Fuller is licensed to practice in South Carolina (license number 23579) 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 1639786932.

Contact Information

	Melody Rene Fuller,
	744 Arden Ln Ste 200, Rock Hill, SC 29732-3287
	(803) 787-6453
	Not Available

Map and Direction

Provider's Profile

Full Name	Melody Rene Fuller
Gender	Female
Speciality	Nurse Practitioner - Family
Location	744 Arden Ln Ste 200, Rock Hill, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639786932
Provider Enumeration Date: 09/30/2020
Last Update Date: 01/02/2025

Medicare PECOS Information:

PECOS PAC ID: 4082015417
Enrollment ID: I20211210001352

Medical Identifiers

Medical identifiers for Melody Rene Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639786932	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	23579 (South Carolina)	Secondary
363LF0000X	Nurse Practitioner - Family	23579 (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. Melody Rene Fuller allows following entities to bill medicare on her behalf.

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

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. Melody Rene 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
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

Reviews and Comments

Nurse Practitioner Nurses in Rock Hill, SC

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
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Andrea Blakeman, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments 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

Melody Rene Fuller, - Medicare Nurse Practitioner in Rock Hill, SC