Mary Jane Fullwood, MD in Selmer, TN - Medicare Family Practice

Mary Jane Fullwood, MD is a medicare enrolled "Family Medicine" physician in Selmer, Tennessee. She went to University Of Tennessee, Hsc, College Of Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Trinity Medical Clinic, Llc and her current practice location is 832 Mulberry Ave, Selmer, Tennessee. You can reach out to her office (for appointments etc.) via phone at (731) 434-0200.

Mary Jane Fullwood is licensed to practice in Tennessee (license number 56645) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1306208954.

Contact Information

	Mary Jane Fullwood, MD
	832 Mulberry Ave, Selmer, TN 38375-2334
	(731) 434-0200
	(731) 434-0203

Map and Direction

Physician's Profile

Full Name	Mary Jane Fullwood
Gender	Female
Speciality	Family Practice
Experience	8 Years
Location	832 Mulberry Ave, Selmer, Tennessee
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mary Jane Fullwood attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 2016

NPI Data:

NPI Number: 1306208954
Provider Enumeration Date: 03/23/2016
Last Update Date: 12/22/2023

Medicare PECOS Information:

PECOS PAC ID: 1254624554
Enrollment ID: I20191030000848

Medical Identifiers

Medical identifiers for Mary Jane Fullwood such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306208954	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	56645 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Jackson-madison County General Hospital	Jackson, TN	Hospital
Hardin Medical Center	Savannah, TN	Hospital
Magnolia Regional Health Center	Corinth, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Trinity Medical Clinic, Llc	5395802912	3

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. Mary Jane Fullwood allows following entities to bill medicare on her behalf.

Entity Name	Trinity Medical Clinic, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013156629 PECOS PAC ID: 5395802912 Enrollment ID: O20090326000481

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. Mary Jane Fullwood 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
Mary Jane Fullwood, MD 832 Mulberry Ave, Selmer, TN 38375-2334 Ph: (731) 434-0200	Mary Jane Fullwood, MD 832 Mulberry Ave, Selmer, TN 38375-2334 Ph: (731) 434-0200

Reviews and Comments

Family Medicine Doctors in Selmer, TN

James Darrel King, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Prime Care Dr, Selmer, TN 38375 Phone: 731-645-7932 Fax: 731-645-5195
William Andrew Eason, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 270 E Court Ave, Selmer, TN 38375 Phone: 731-645-7932 Fax: 731-645-5195

Mary Jane Fullwood, MD - Medicare Family Practice in Selmer, TN