Bonnie Nall Fuller, APRN is a medicare enrolled "Nurse Practitioner - Family" in Yalaha, Florida. Her current practice location is
16 Lakeshore Dr, Yalaha, Florida. You can reach out to her office (for appointments etc.) via phone at
(850) 960-6038.
Bonnie Nall Fuller is licensed to practice in Florida (license number APRN11012161) 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 1215512611.
Provider's Profile
Full Name | Bonnie Nall Fuller |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 16 Lakeshore Dr, Yalaha, Florida |
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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: 1215512611
- Provider Enumeration Date: 03/17/2021
- Last Update Date: 03/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 5890194591
- Enrollment ID: I20210601000600
Medical Identifiers
Medical identifiers for Bonnie Nall Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215512611 | NPI | - | NPPES |
APRN11012161 | Other | FL | FLORIDA DEPARTMENT OF HEALTH BOARD OF NURSING |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | APRN11012161 (Florida) | 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. Bonnie Nall 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 |
Bonnie Nall Fuller, APRN 16 Lakeshore Dr, Yalaha, FL 34797-3032 Ph: (850) 960-6038 | Bonnie Nall Fuller, APRN 16 Lakeshore Dr, Yalaha, FL 34797-3032 Ph: (850) 960-6038 |
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