Justin Fuller, CRNP in Pell City, AL - Medicare Nurse Practitioner

Justin Fuller, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Pell City, Alabama. His current practice location is 70 Plaza Dr, Pell City, Alabama. You can reach out to his office (for appointments etc.) via phone at (205) 814-9284.

Justin Fuller is licensed to practice in Alabama (license number 1-131835) 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 1013565613.

Contact Information

	Justin Fuller, CRNP
	70 Plaza Dr, Pell City, AL 35125-9314
	(205) 814-9284
	(205) 814-9626

Map and Direction

Provider's Profile

Full Name	Justin Fuller
Gender	Male
Speciality	Nurse Practitioner - Family
Location	70 Plaza Dr, Pell City, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013565613
Provider Enumeration Date: 08/28/2019
Last Update Date: 08/28/2019

Medicare PECOS Information:

PECOS PAC ID: 6204268139
Enrollment ID: I20191114003586

Medical Identifiers

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

Identifier	Type	State	Issuer
1013565613	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1-131835 (Alabama)	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. Justin Fuller allows following entities to bill medicare on his behalf.

Entity Name	Inri Medical Associates, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831103837 PECOS PAC ID: 0749270197 Enrollment ID: O20040517000780

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. Justin 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
Justin Fuller, CRNP 70 Plaza Dr, Pell City, AL 35125-9314 Ph: (205) 814-9284	Justin Fuller, CRNP 70 Plaza Dr, Pell City, AL 35125-9314 Ph: (205) 814-9284

Reviews and Comments

Nurse Practitioner Nurses in Pell City, AL

Ms. Laura Paige Farris, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1508 Cogswell Ave, Pell City, AL 35125 Phone: 205-814-1526
Wendy O'neal, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 41 Eminence Way Ste A, Pell City, AL 35128 Phone: 205-884-9000
Erin Chrisla Martin, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 70 Plaza Dr, Pell City, AL 35125 Phone: 205-814-9284 Fax: 205-814-9626
Angela K Belyeu, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7067 Veterans Pkwy, Suite 130, Pell City, AL 35125 Phone: 205-884-9000 Fax: 205-884-8111
Kelsie W Roulaine, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 74 Plaza Dr, Pell City, AL 35125 Phone: 205-814-9284 Fax: 205-814-9626
Lisa Ellison, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 70 Plaza Dr, Pell City, AL 35125 Phone: 205-814-9284 Fax: 205-338-0865

Justin Fuller, CRNP - Medicare Nurse Practitioner in Pell City, AL