Jo Fuller, APRN-CNP in Ardmore, OK - Medicare Nurse Practitioner

Jo Fuller, APRN-CNP is a medicare enrolled "Nurse Practitioner - Family" in Ardmore, Oklahoma. Her current practice location is 970 Northwest Blvd, Ardmore, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (580) 221-7500.

Jo Fuller is licensed to practice in Oklahoma (license number 75953) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1427472083.

Contact Information

	Jo Fuller, APRN-CNP
	970 Northwest Blvd, Ardmore, OK 73401-1534
	(580) 221-7500
	(580) 490-9406

Map and Direction

Provider's Profile

Full Name	Jo Fuller
Gender	Female
Speciality	Nurse Practitioner - Family
Location	970 Northwest Blvd, Ardmore, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427472083
Provider Enumeration Date: 02/18/2014
Last Update Date: 02/18/2014

Medicare PECOS Information:

PECOS PAC ID: 4082845326
Enrollment ID: I20140328002033

Medical Identifiers

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

Identifier	Type	State	Issuer
1427472083	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	75953 (Oklahoma)	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. Jo Fuller allows following entities to bill medicare on her behalf.

Entity Name	Lifes Cycle Womens Care Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386738201 PECOS PAC ID: 4688617251 Enrollment ID: O20050604000080

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. Jo 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
Jo Fuller, APRN-CNP Po Box 216, Ardmore, OK 73402-0216 Ph: (580) 221-7500	Jo Fuller, APRN-CNP 970 Northwest Blvd, Ardmore, OK 73401-1534 Ph: (580) 221-7500

Reviews and Comments

Nurse Practitioner Nurses in Ardmore, OK

Susan Barbara Bezner, A.R.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 731 12th Ave Nw, Suite #201, Ardmore, OK 73401 Phone: 580-224-9000 Fax: 580-224-9009
Tausha Zann Shelton, ARNP-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1116 Walnut Dr, Ardmore, OK 73401 Phone: 580-226-0543 Fax: 580-226-2284
Toni Headstream, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1908 12th Ave Nw Ste E, Ardmore, OK 73401 Phone: 254-485-0338
Mrs. Tina Diane Gerwin, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1570 Provence Rd, Ardmore, OK 73401 Phone: 580-220-4427
Carrie Kaye Evans, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 908 N Rockford Rd Ste A, Ardmore, OK 73401 Phone: 580-223-0447 Fax: 580-223-2989
Quashonda Anderson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 510 Monroe St Nw, Ardmore, OK 73401 Phone: 580-504-2082 Fax: 580-226-5918
Angela Donnice Amparano, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2002 12th Ave Nw, Ardmore, OK 73401 Phone: 580-226-4580

Jo Fuller, APRN-CNP - Medicare Nurse Practitioner in Ardmore, OK