Ms Cheryl A Fuller, APN is a medicare enrolled "Nurse Practitioner - Family" in Dongola, Illinois. Her current practice location is
318 Us Highway 51 N, Dongola, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 827-3545.
Ms Cheryl A Fuller is licensed to practice in Illinois (license number 209008363) 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 1376851410.
Provider's Profile
Full Name | Ms Cheryl A Fuller |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 318 Us Highway 51 N, Dongola, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1376851410
- Provider Enumeration Date: 09/23/2010
- Last Update Date: 04/25/2016
Medicare PECOS Information:
- PECOS PAC ID: 6204005135
- Enrollment ID: I20160302001054
Medical Identifiers
Medical identifiers for Ms Cheryl A Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376851410 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 209008363 (Illinois) | 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. Ms Cheryl A 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 |
Ms Cheryl A Fuller, APN Po Box 277, Dongola, IL 62926-0277 Ph: (618) 827-3545 | Ms Cheryl A Fuller, APN 318 Us Highway 51 N, Dongola, IL 62926-1103 Ph: (618) 827-3545 |
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