Ms Lori Dillard Fuquay, FNP is a medicare enrolled "Nurse Practitioner - Family" in Bracey, Virginia. Her current practice location is
790 Hill Ln, Bracey, Virginia. You can reach out to her office (for appointments etc.) via phone at
(919) 995-5421.
Ms Lori Dillard Fuquay is licensed to practice in Virginia (license number 0024190402) 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 1407990872.
Provider's Profile
| Full Name | Ms Lori Dillard Fuquay |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 790 Hill Ln, Bracey, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1407990872
- Provider Enumeration Date: 02/17/2007
- Last Update Date: 01/01/2025
Medicare PECOS Information:
- PECOS PAC ID: 9335289917
- Enrollment ID: I20120105000488
Medical Identifiers
Medical identifiers for Ms Lori Dillard Fuquay such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407990872 | NPI | - | NPPES |
| 1X7132 | Other | TX | MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | 131861 (North Carolina) | Secondary |
| 363L00000X | Nurse Practitioner | AP120850 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 811726 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 0024190402 (Virginia) | 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. Ms Lori Dillard Fuquay allows following entities to bill medicare on her behalf.
| Entity Name | Christus Trinity Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285684225
PECOS PAC ID: 3072426741
Enrollment ID: O20031204001091 |
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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. Ms Lori Dillard Fuquay 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 |
|---|
Ms Lori Dillard Fuquay, FNP
790 Hill Ln,
Bracey, VA 23919-2174
Ph: (919) 995-5421 | Ms Lori Dillard Fuquay, FNP
790 Hill Ln,
Bracey, VA 23919-2174
Ph: (919) 995-5421 |
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