Kathryn Elisabeth Fuller, NP is a medicare enrolled "Nurse Practitioner" physician in High Point, North Carolina. Her current practice location is
3610 Peters Ct, High Point, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(336) 883-0029.
Kathryn Elisabeth Fuller is licensed to practice in North Carolina (license number 5019945) 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 1881331593.
Physician's Profile
Full Name | Kathryn Elisabeth Fuller |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 3610 Peters Ct, High Point, North Carolina |
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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: 1881331593
- Provider Enumeration Date: 05/14/2022
- Last Update Date: 07/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 9335589480
- Enrollment ID: I20240506004682
Medical Identifiers
Medical identifiers for Kathryn Elisabeth Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881331593 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208VP0000X | Pain Medicine - Pain Medicine | 5019945 (North Carolina) | Secondary |
363L00000X | Nurse Practitioner | 5019945 (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. Kathryn Elisabeth Fuller allows following entities to bill medicare on her behalf.
Entity Name | Bethany Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1952404188 PECOS PAC ID: 4486614575 Enrollment ID: O20041013000729 |
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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. Kathryn Elisabeth 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 |
Kathryn Elisabeth Fuller, NP 645 N Main St, High Point, NC 27260-5017 Ph: (336) 883-0029 | Kathryn Elisabeth Fuller, NP 3610 Peters Ct, High Point, NC 27265-9004 Ph: (336) 883-0029 |
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