Katy Fuqua Fuqua, - Medicare Dietitian in Bristol, TN

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Katy Fuqua Fuqua, is a medicare enrolled "Dietitian, Registered" provider in Bristol, Tennessee. She graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice Edisonhealth Llc, Edisonhealth Llc, Edisonhealth Llc, Edisonhealth Llc and her current practice location is 1019 Florida Ave, Bristol, Tennessee. You can reach out to her office (for appointments etc.) via phone at (615) 513-8795.

Katy Fuqua Fuqua is licensed to practice in Tennessee (license number 0000002180) 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 1538730304.

Contact Information

Katy Fuqua Fuqua,
1019 Florida Ave,
Bristol, TN 37620-4015
(615) 513-8795
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKaty Fuqua Fuqua
GenderFemale
SpecialityRegistered Dietitian Or Nutrition Professional
Experience15 Years
Location1019 Florida Ave, Bristol, Tennessee
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Katy Fuqua Fuqua graduated from medical school in 2009
  NPI Data:
  • NPI Number: 1538730304
  • Provider Enumeration Date: 07/02/2021
  • Last Update Date: 07/08/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3274931761
  • Enrollment ID: I20211014000415

Medical Identifiers

Medical identifiers for Katy Fuqua Fuqua such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538730304NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 0000002180 (Tennessee)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Edisonhealth Llc72143322209
Edisonhealth Llc72143322209
Edisonhealth Llc72143322209
Edisonhealth Llc72143322209

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. Katy Fuqua Fuqua allows following entities to bill medicare on her behalf.
Provider NameEdisonhealth Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1447850912
PECOS PAC ID: 7214332220
Enrollment ID: O20210827003081

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. Katy Fuqua Fuqua 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 AddressPractice Location Address
Katy Fuqua Fuqua,
1019 Florida Ave,
Bristol, TN 37620-4015

Ph: (615) 513-8795		Katy Fuqua Fuqua,
1019 Florida Ave,
Bristol, TN 37620-4015

Ph: (615) 513-8795

Reviews and Comments


Dietitian, Registered in Bristol, TN

Mrs. Angela Lynn Conner, MS,RD,LDN
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 1 Medical Park Blvd, Bristol, TN 37620
Phone: 423-844-1121    Fax: 423-844-3820
Mrs. Brandy Paige Schrenker, LDN
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 28 Midway St, Bristol, TN 37620
Phone: 423-573-9873    Fax: 423-573-9875
Ms. Candace Yonts Osborne, MS, RD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 402 Bluff City Hwy Apt 147, Bristol, TN 37620
Phone: 276-525-0769    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.