Kelly Fuller, APRN in Melbourne, FL - Medicare Counselor Provider

Kelly Fuller, APRN is a medicare enrolled "Counselor - Mental Health" provider in Melbourne, Florida. Her current practice location is 400 E Sheridan Rd, Melbourne, Florida. You can reach out to her office (for appointments etc.) via phone at (321) 722-5200.

Kelly Fuller is licensed to practice in Florida (license number APRN11000259) 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 1144793407.

Contact Information

	Kelly Fuller, APRN
	400 E Sheridan Rd, Melbourne, FL 32901-3184
	(321) 722-5200
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Fuller
Gender	Female
Speciality	Counselor - Mental Health
Location	400 E Sheridan Rd, Melbourne, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144793407
Provider Enumeration Date: 01/09/2019
Last Update Date: 02/28/2024

Medicare PECOS Information:

PECOS PAC ID: 7113264482
Enrollment ID: I20190124000600

Medical Identifiers

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

Identifier	Type	State	Issuer
1144793407	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	APRN11000259 (Florida)	Primary
364SP0808X	Clinical Nurse Specialist - Psychiatric/mental Health	APRN11000259 (Florida)	Secondary

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. Kelly Fuller allows following entities to bill medicare on her behalf.

Entity Name	Circles Of Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215345954 PECOS PAC ID: 8729069380 Enrollment ID: O20040528000379

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. Kelly 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
Kelly Fuller, APRN 400 E Sheridan Rd, Melbourne, FL 32901-3184 Ph: (321) 722-5200	Kelly Fuller, APRN 400 E Sheridan Rd, Melbourne, FL 32901-3184 Ph: (321) 722-5200

Reviews and Comments

Counselor in Melbourne, FL

Michelle Cannon, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 326 Croton Rd, Melbourne, FL 32935 Phone: 321-752-3170 Fax: 321-752-3179
Bryanna Oswalt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4450 W Eau Gallie Blvd, Suite 200, Melbourne, FL 32934 Phone: 321-726-2860
Mrs. Jennifer Lovell, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 3345 Delaney Dr Apt 101, Melbourne, FL 32934 Phone: 321-557-1888
Angela Bryan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3270 Suntree Blvd Ste 103a, Melbourne, FL 32940 Phone: 321-757-4015
Ms. J. Phyllis Brannen, LCSW, CAP Counselor Medicare: Medicare Enrolled Practice Location: 1503 Pine St, Melbourne, FL 32901 Phone: 321-953-3225 Fax: 321-953-3252
Anne Wolfram, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3040 N Wickham Rd, Suite 3, Melbourne, FL 32935 Phone: 321-254-3042 Fax: 321-254-4770
Mrs. Kwanya Toussaint, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3270 Suntree Blvd Ste 127, Melbourne, FL 32940 Phone: 321-610-7949 Fax: 321-610-7947

Kelly Fuller, APRN - Medicare Counselor in Melbourne, FL