Daniel Boston Fuller, in Portsmouth, VA - Medicare Nurse Practitioner

Daniel Boston Fuller, is a medicare enrolled "Nurse Practitioner - Acute Care" in Portsmouth, Virginia. His current practice location is 620 John Paul Jones Cir, Portsmouth, Virginia. You can reach out to his office (for appointments etc.) via phone at (828) 230-4102.

Daniel Boston Fuller is licensed to practice in Virginia (license number 0024171194) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1629404264.

Contact Information

	Daniel Boston Fuller,
	620 John Paul Jones Cir, Portsmouth, VA 23708-2111
	(828) 230-4102
	Not Available

Map and Direction

Provider's Profile

Full Name	Daniel Boston Fuller
Gender	Male
Speciality	Nurse Practitioner - Acute Care
Location	620 John Paul Jones Cir, Portsmouth, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629404264
Provider Enumeration Date: 09/14/2013
Last Update Date: 02/02/2022

Medicare PECOS Information:

PECOS PAC ID: 8628208402
Enrollment ID: I20140221000846

Medical Identifiers

Medical identifiers for Daniel Boston Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629404264	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
364SA2100X	Clinical Nurse Specialist - Acute Care	0024171194 (Virginia)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	0024171194 (Virginia)	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. Daniel Boston Fuller allows following entities to bill medicare on his behalf.

Entity Name	Bon Secours Medical Group Hampton Roads Specialty Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629637475 PECOS PAC ID: 3173955671 Enrollment ID: O20191122000258

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. Daniel Boston 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
Daniel Boston Fuller, 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 Ph: (828) 230-4102	Daniel Boston Fuller, 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 Ph: (828) 230-4102

Reviews and Comments

Nurse Practitioner Nurses in Portsmouth, VA

Mr. John F Lyons, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-445-9187 Fax: 757-445-5443
Flordeliza Ablao-chanthavichith, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3235 Academy Ave, Suite 305, Portsmouth, VA 23703 Phone: 757-686-9300 Fax: 757-686-1514
Mrs. Keva Denise Hoyt, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4106 Portsmouth Blvd, Portsmouth, VA 23701 Phone: 757-393-1136 Fax: 757-698-2499
Jordan Cox, AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3636 High St, Portsmouth, VA 23707 Phone: 757-398-2200
Mr. Wilber C. Delorme, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 620 John Paul Jones Cir, Naval Medical Cent Portsmout Dermatology Clinic, Portsmouth, VA 23708 Phone: 757-953-0311
Heather Weaver Nelson, FNP-C, WHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-8351
Jennifer Pruhs, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-477-2875 Fax: 757-953-9035

Daniel Boston Fuller, - Medicare Nurse Practitioner in Portsmouth, VA