Jeremy Wayne Fuller, FNP in Round Mountain, CA

Jeremy Wayne Fuller, FNP is a medicare enrolled "Nurse Practitioner - Family" in Round Mountain, California. His current practice location is 29632 Hwy. 299 East, Round Mountain, California. You can reach out to his office (for appointments etc.) via phone at (530) 337-5750.

Jeremy Wayne Fuller is licensed to practice in California (license number 95015009) 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 1285221440.

Contact Information

	Jeremy Wayne Fuller, FNP
	29632 Hwy. 299 East, Round Mountain, CA 96084
	(530) 337-5750
	Not Available

Map and Direction

Provider's Profile

Full Name	Jeremy Wayne Fuller
Gender	Male
Speciality	Nurse Practitioner - Family
Location	29632 Hwy. 299 East, Round Mountain, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285221440
Provider Enumeration Date: 12/22/2020
Last Update Date: 12/22/2020

Medicare PECOS Information:

PECOS PAC ID: 8224492558
Enrollment ID: I20230919003902

Medical Identifiers

Medical identifiers for Jeremy Wayne Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285221440	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95015009 (California)	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. Jeremy Wayne Fuller allows following entities to bill medicare on his behalf.

Entity Name	Hill Country Community Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407914260 PECOS PAC ID: 1052442175 Enrollment ID: O20120425000422

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. Jeremy Wayne 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
Jeremy Wayne Fuller, FNP 630 Overhill Dr, Redding, CA 96001-0218 Ph: (530) 333-3821	Jeremy Wayne Fuller, FNP 29632 Hwy. 299 East, Round Mountain, CA 96084 Ph: (530) 337-5750

Reviews and Comments

Nurse Practitioner Nurses in Round Mountain, CA

Mrs. Happy Star Shaw, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 29632 Hwy 299 E, Round Mountain, CA 96084 Phone: 530-337-6243 Fax: 530-337-6655
Mr. Asa Mark Calkins, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 29632 Highway 299 East, Round Mountain, CA 96084 Phone: 530-337-6243 Fax: 530-337-6655
Shaelah Ellen Lewis, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 29632 Highway 299 East, Round Mountain, CA 96084 Phone: 530-337-5762
Ms. Darra A. Husome, FNP, CNS Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 29632 Highway 299 East, Round Mountain, CA 96084 Phone: 530-337-6243

Jeremy Wayne Fuller, FNP - Medicare Nurse Practitioner in Round Mountain, CA