Selena Nicole Fuller, DPT in Crystal Falls, MI - Medicare Physical Therapist In Private Practice Provider

Selena Nicole Fuller, DPT is a medicare enrolled "Physical Therapist" provider in Crystal Falls, Michigan. She graduated from medical school in 2019 and has 7 years of diverse experience with area of expertise as Physical Therapist In Private Practice. She is a member of the group practice Xperience Physical Therapy Pllc and her current practice location is 1352 Us Hwy 2, Crystal Falls, Michigan. You can reach out to her office (for appointments etc.) via phone at (906) 874-1124.

Selena Nicole Fuller is licensed to practice in Michigan (license number 5501019643) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1568073377.

Contact Information

	Selena Nicole Fuller, DPT
	1352 Us Hwy 2, Crystal Falls, MI 49920
	(906) 874-1124
	(906) 874-2124

Map and Direction

Healthcare Provider's Profile

Full Name	Selena Nicole Fuller
Gender	Female
Speciality	Physical Therapist In Private Practice
Experience	7 Years
Location	1352 Us Hwy 2, Crystal Falls, Michigan
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Selena Nicole Fuller graduated from medical school in 2019

NPI Data:

NPI Number: 1568073377
Provider Enumeration Date: 08/14/2020
Last Update Date: 12/17/2025

Medicare PECOS Information:

PECOS PAC ID: 0042618225
Enrollment ID: I20211004000751

Medical Identifiers

Medical identifiers for Selena Nicole Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568073377	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT018633 (Ohio)	Secondary
225100000X	Physical Therapist	15213-24 (Wisconsin)	Secondary
225100000X	Physical Therapist	5501019643 (Michigan)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Xperience Physical Therapy Pllc	1456739721	2

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. Selena Nicole Fuller allows following entities to bill medicare on her behalf.

Provider Name	Aspirus Iron River Hospital & Clinics Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1497750830 PECOS PAC ID: 5294648929 Enrollment ID: O20031110000264

Provider Name	Xperience Physical Therapy Pllc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1154073690 PECOS PAC ID: 1456739721 Enrollment ID: O20220531000108

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. Selena Nicole 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
Selena Nicole Fuller, DPT 1352 Us Hwy 2, Crystal Falls, MI 49920 Ph: (906) 874-1124	Selena Nicole Fuller, DPT 1352 Us Hwy 2, Crystal Falls, MI 49920 Ph: (906) 874-1124

Reviews and Comments

Physical Therapist in Crystal Falls, MI

Richard L Beaudoin, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 104 4th St, Crystal Falls, MI 49920 Phone: 906-284-1782
Xperience Physical Therapy Pllc Physical Therapist Medicare: Medicare Enrolled Practice Location: 1352 Us Highway 2, Crystal Falls, MI 49920 Phone: 906-874-1124 Fax: 906-874-2124
Jordan Fuller, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1523 Us Highway 2, Crystal Falls, MI 49920 Phone: 906-874-1444
Mrs. Deborah J Rossato, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1523 West Us 2, Iron County Medical Care Facility, Crystal Falls, MI 49920 Phone: 906-874-1424

Selena Nicole Fuller, DPT - Medicare Physical Therapist in Crystal Falls, MI