Mrs Kristy Leann Fullard, NP in Modesto, CA - Medicare Nurse Practitioner

Mrs Kristy Leann Fullard, NP is a medicare enrolled "Nurse Practitioner - Family" in Modesto, California. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice First Choice Physician Partners and her current practice location is 2012 Kendall Ave, Modesto, California. You can reach out to her office (for appointments etc.) via phone at (209) 581-5359.

Mrs Kristy Leann Fullard is licensed to practice in California (license number F12190864) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1528604543.

Contact Information

	Mrs Kristy Leann Fullard, NP
	2012 Kendall Ave, Modesto, CA 95355-3280
	(209) 581-5359
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Kristy Leann Fullard
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	2012 Kendall Ave, Modesto, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Kristy Leann Fullard graduated from nursing school in 2019

NPI Data:

NPI Number: 1528604543
Provider Enumeration Date: 11/25/2019
Last Update Date: 01/16/2020

Medicare PECOS Information:

PECOS PAC ID: 9638500796
Enrollment ID: I20200506000837

Medical Identifiers

Medical identifiers for Mrs Kristy Leann Fullard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528604543	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F12190864 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Doctors Hospital Of Manteca	Manteca, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
First Choice Physician Partners	0941465322	195

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 Kristy Leann Fullard allows following entities to bill medicare on her behalf.

Entity Name	First Choice Physician Partners
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104183052 PECOS PAC ID: 0941465322 Enrollment ID: O20120710000480

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 Kristy Leann Fullard 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 Kristy Leann Fullard, NP Po Box 4995, Modesto, CA 95352-4995 Ph: (209) 581-5359	Mrs Kristy Leann Fullard, NP 2012 Kendall Ave, Modesto, CA 95355-3280 Ph: (209) 581-5359

Reviews and Comments

Nurse Practitioner Nurses in Modesto, CA

Anissa Brown, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1700 Standiford Ave, Modesto, CA 95350 Phone: 209-676-3069
Nameeta Heer, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1316 Celeste Dr, Modesto, CA 95355 Phone: 209-571-1055
Mrs. Lois Elaine Lewis, RN NURSE PRACTITIONE Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 205 W Granger Ave, Modesto, CA 95350 Phone: 209-579-9930 Fax: 209-579-9941
Ms. Margaret Baker, FNPC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1448 Florida Ave, Modesto, CA 95350 Phone: 209-523-1884 Fax: 209-523-2566
Ms. Fantine Warda, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1700 Coffee Rd, Modesto, CA 95355 Phone: 209-526-4500 Fax: 209-572-7901
Shararah Aziz, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1700 Standiford Ave, Modesto, CA 95350 Phone: 209-676-3069
Sukhjit Kaur, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 801 17th St, Modesto, CA 95354 Phone: 209-251-0200

Mrs Kristy Leann Fullard, NP - Medicare Nurse Practitioner in Modesto, CA