Jennifer Fullem, NP is a medicare enrolled "Nurse Practitioner - Family" physician in Halethorpe, Maryland. Her current practice location is
1701 Twin Springs Rd, Halethorpe, Maryland. You can reach out to her office (for appointments etc.) via phone at
(410) 443-8874.
Jennifer Fullem is licensed to practice in Maryland (license number R191487) 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 1891345674.
Physician's Profile
Full Name | Jennifer Fullem |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 1701 Twin Springs Rd, Halethorpe, Maryland |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1891345674
- Provider Enumeration Date: 09/13/2019
- Last Update Date: 09/19/2022
Medicare PECOS Information:
- PECOS PAC ID: 5193117612
- Enrollment ID: I20220113000686
Medical Identifiers
Medical identifiers for Jennifer Fullem such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891345674 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | R191487 (Maryland) | Secondary |
363LF0000X | Nurse Practitioner - Family | R191487 (Maryland) | Primary |
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. Jennifer Fullem 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 |
Jennifer Fullem, NP 45 4th St, New Freedom, PA 17349-9742 Ph: (443) 465-0155 | Jennifer Fullem, NP 1701 Twin Springs Rd, Halethorpe, MD 21227-3553 Ph: (410) 443-8874 |
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