Jennifer Fullem, NP - Medicare Nurse Practitioner in Halethorpe, MD

  1. Home
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.

Contact Information

Jennifer Fullem, NP
1701 Twin Springs Rd,
Halethorpe, MD 21227-3553
(410) 443-8874
Not Available

Map and Direction




Physician's Profile

Full NameJennifer Fullem
GenderFemale
SpecialityNurse Practitioner - Family
Location1701 Twin Springs Rd, Halethorpe, Maryland
Accepts Medicare AssignmentsMedicare 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: I20221004004040

Medical Identifiers

Medical identifiers for Jennifer Fullem such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891345674NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine R191487 (Maryland)Secondary
363LF0000XNurse Practitioner - Family R191487 (Maryland)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. Jennifer Fullem allows following entities to bill medicare on her behalf.
Entity NameKaiser Foundation Health Plan Of The Mid Atlantic States, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467114207
PECOS PAC ID: 3779495858
Enrollment ID: O20080519000558
Entity NameKaiser Foundation Health Plan Of The Mid Atlantic States, Inc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1942546486
PECOS PAC ID: 3779495858
Enrollment ID: O20141111002041

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 AddressPractice 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

Reviews and Comments



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.