Edwana Denise Fuller, RN - Registered Nurse in Chicago, IL

Edwana Denise Fuller, RN is a Registered Nurse - Medical-surgical based in Chicago, Illinois. Edwana Denise Fuller is licensed to practice in Indiana (license number 28258565A) and her current practice location is 5319 S Indiana Ave Apt 1, Chicago, Illinois. She can be reached at her office (for appointments etc.) via phone at (773) 299-2777.

NPI number for Edwana Denise Fuller is 1760090765 and her current mailing address is 5319 S Indiana Ave Apt 1, Chicago, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1760090765.

Contact Information

Edwana Denise Fuller, RN
5319 S Indiana Ave Apt 1,
Chicago, IL 60615-4712
(773) 299-2777
Not Available

Map and Direction




Provider's Profile

Full NameEdwana Denise Fuller
GenderFemale
SpecialityRegistered Nurse - Medical-surgical
Location5319 S Indiana Ave Apt 1, Chicago, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1760090765
  • Provider Enumeration Date: 07/16/2020
  • Last Update Date: 07/16/2020

Medical Identifiers

Medical identifiers for Edwana Denise Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760090765NPI-NPPES
28258565AOtherINLICENSE NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WM0705XRegistered Nurse - Medical-surgical 28258565A (Indiana)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. Edwana Denise Fuller is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Edwana Denise Fuller, RN
5319 S Indiana Ave Apt 1,
Chicago, IL 60615-4712

Ph: (773) 299-2777
Edwana Denise Fuller, RN
5319 S Indiana Ave Apt 1,
Chicago, IL 60615-4712

Ph: (773) 299-2777

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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.

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