John Thomas Fussell, PA-C is a medicare enrolled "Physician Assistant - Medical" in Henry, Tennessee. His current practice location is
9785 Highway 79 S, Henry, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(731) 243-1450.
John Thomas Fussell is licensed to practice in Tennessee (license number 5567) 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 1679265490.
Provider's Profile
| Full Name | John Thomas Fussell |
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| Gender | Male |
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| Speciality | Physician Assistant - Medical |
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| Location | 9785 Highway 79 S, Henry, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1679265490
- Provider Enumeration Date: 05/22/2023
- Last Update Date: 03/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 7416318464
- Enrollment ID: I20230807003079
Medical Identifiers
Medical identifiers for John Thomas Fussell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679265490 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 5567 (Tennessee) | 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. John Thomas Fussell 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 |
|---|
John Thomas Fussell, PA-C
50 Hunter Ln,
Erin, TN 37061-4169
Ph: (931) 289-9189 | John Thomas Fussell, PA-C
9785 Highway 79 S,
Henry, TN 38231-3613
Ph: (731) 243-1450 |
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