Jill Marie Fuller, MSN, CNP | |
4950 Buffalo Rd, Erie, PA 16510-2304 | |
(814) 898-2576 | |
Not Available |
Full Name | Jill Marie Fuller |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 4950 Buffalo Rd, Erie, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033223631 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | SP009500 (Pennsylvania) | Secondary |
363L00000X | Nurse Practitioner | SP009500 (Pennsylvania) | Primary |
Entity Name | St Vincent Medical Education And Research Institute Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902881477 PECOS PAC ID: 3870405137 Enrollment ID: O20031104000576 |
Entity Name | Ahn Emergency Group Of Erie County Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336564798 PECOS PAC ID: 3072746585 Enrollment ID: O20140508000746 |
Entity Name | Ahn Observation Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437814696 PECOS PAC ID: 1557753811 Enrollment ID: O20220118001466 |
Mailing Address | Practice Location Address |
---|---|
Jill Marie Fuller, MSN, CNP 4950 Buffalo Rd, Erie, PA 16510-2304 Ph: (814) 898-2576 | Jill Marie Fuller, MSN, CNP 4950 Buffalo Rd, Erie, PA 16510-2304 Ph: (814) 898-2576 |
Tatyana Kryachkov, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3250 W Lake Rd., Suite 2, Erie, PA 16505 Phone: 814-790-4567 Fax: 814-295-4074 | |
Jennifer Flo Norris, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4120 Westminster Blvd, Erie, PA 16506 Phone: 814-440-2278 | |
Devon Singh, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 120 E 2nd St Fl 2, 2nd Floor, Erie, PA 16507 Phone: 814-456-8980 | |
Lynn Gates, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 State St, Erie, PA 16550 Phone: 814-877-4922 | |
Nicole Friedl, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 State St, Erie, PA 16550 Phone: 814-877-4922 | |
Linda Kathleen Mentz, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4500 Pine Ave, Erie, PA 16504 Phone: 814-877-5800 Fax: 814-877-5809 | |
Mr. Kenneth Charles Agnew Jr., CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5037 Crystal Dr, Erie, PA 16505 Phone: 814-218-1850 |