Dr Molly Lynn Fuller, MD, PHD is a medicare enrolled "Ophthalmology - Ophthalmic Plastic And Reconstructive Surgery" physician in Bermuda Run, North Carolina. She graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Ophthalmology. Her current practice location is
122 E Kinderton Way, Bermuda Run, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(336) 448-3060.
Dr Molly Lynn Fuller is licensed to practice in North Carolina (license number 2015-01115) 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 1326276577.
Physician's Profile
| Full Name | Dr Molly Lynn Fuller |
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| Gender | Female |
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| Speciality | Ophthalmology |
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| Experience | 15 Years |
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| Location | 122 E Kinderton Way, Bermuda Run, North Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Molly Lynn Fuller graduated from medical school in 2009
NPI Data:
- NPI Number: 1326276577
- Provider Enumeration Date: 06/26/2009
- Last Update Date: 04/05/2019
Medicare PECOS Information:
- PECOS PAC ID: 4688815442
- Enrollment ID: I20151102002078
Medical Identifiers
Medical identifiers for Dr Molly Lynn Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1326276577 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207W00000X | Ophthalmology | 2015-01115 (North Carolina) | Secondary |
| 207WX0200X | Ophthalmology - Ophthalmic Plastic And Reconstructive Surgery | 2015-01115 (North 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. Dr Molly Lynn Fuller allows following entities to bill medicare on her behalf.
| Entity Name | Wake Forest University Health Sciences |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003803032
PECOS PAC ID: 4486564952
Enrollment ID: O20031105000436 |
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| Entity Name | Triad Ocular And Facial Plastic Surgery Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245737568
PECOS PAC ID: 1658628128
Enrollment ID: O20180716002773 |
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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. Dr Molly Lynn 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 |
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Dr Molly Lynn Fuller, MD, PHD
5335 Robinhood Village Dr # 178,
Winston Salem, NC 27106-9820
Ph: (336) 448-3060 | Dr Molly Lynn Fuller, MD, PHD
122 E Kinderton Way,
Bermuda Run, NC 27006-7303
Ph: (336) 448-3060 |
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