Mrs Karen Fuller, NP in Dallas, GA - Medicare Nurse Practitioner

Mrs Karen Fuller, NP is a medicare enrolled "Nurse Practitioner - Family" in Dallas, Georgia. Her current practice location is 495 Charles Hardy Pkwy, Dallas, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 445-2128.

Mrs Karen Fuller is licensed to practice in Georgia (license number 143023) 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 1831731306.

Contact Information

	Mrs Karen Fuller, NP
	495 Charles Hardy Pkwy, Dallas, GA 30157-5723
	(770) 445-2128
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Karen Fuller
Gender	Female
Speciality	Nurse Practitioner - Family
Location	495 Charles Hardy Pkwy, Dallas, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831731306
Provider Enumeration Date: 10/16/2019
Last Update Date: 11/09/2020

Medicare PECOS Information:

PECOS PAC ID: 1557774841
Enrollment ID: I20210105002295

Medical Identifiers

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

Identifier	Type	State	Issuer
1831731306	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	143023 (Georgia)	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. Mrs Karen Fuller allows following entities to bill medicare on her behalf.

Entity Name	Wellstar Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374

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. Mrs Karen 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
Mrs Karen Fuller, NP 495 Charles Hardy Pkwy, Dallas, GA 30157-5723 Ph: (770) 445-2128	Mrs Karen Fuller, NP 495 Charles Hardy Pkwy, Dallas, GA 30157-5723 Ph: (770) 445-2128

Reviews and Comments

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Mr. Robert Dean Devlin Ii, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 302 Paulding Blvd, Dallas, GA 30157 Phone: 229-269-7889
Mrs. Amanda Elizabeth Shaw, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 495 Charles Hardy Pkwy, Dallas, GA 30157 Phone: 770-445-2128

Mrs Karen Fuller, NP - Medicare Nurse Practitioner in Dallas, GA