Erica A Fullerton, CNM is a medicare enrolled "Advanced Practice Midwife" in Woonsocket, Rhode Island. She went to Boston University School Of Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice Thundermist Health Center and her current practice location is
450 Clinton St, Woonsocket, Rhode Island. You can reach out to her office (for appointments etc.) via phone at
(401) 767-4100.
Erica A Fullerton is licensed to practice in Rhode Island (license number MW00136) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1255379020.
Provider's Profile
| Full Name | Erica A Fullerton |
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| Gender | Female |
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| Speciality | Certified Nurse Midwife (cnm) |
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| Experience | 20 Years |
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| Location | 450 Clinton St, Woonsocket, Rhode Island |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Erica A Fullerton attended and graduated from Boston University School Of Medicine in 2004
NPI Data:
- NPI Number: 1255379020
- Provider Enumeration Date: 06/03/2006
- Last Update Date: 11/17/2011
Medicare PECOS Information:
- PECOS PAC ID: 6608897673
- Enrollment ID: I20111229000051
Medical Identifiers
Medical identifiers for Erica A Fullerton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1255379020 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | MW00136 (Rhode Island) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Thundermist Health Center | 1557270477 | 148 |
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. Erica A Fullerton allows following entities to bill medicare on her behalf.
| Entity Name | Thundermist Health Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700041001
PECOS PAC ID: 1557270477
Enrollment ID: O20040211000909 |
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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. Erica A Fullerton 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 |
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Erica A Fullerton, CNM
450 Clinton St,
Woonsocket, RI 02895-3207
Ph: (401) 767-4100 | Erica A Fullerton, CNM
450 Clinton St,
Woonsocket, RI 02895-3207
Ph: (401) 767-4100 |
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