Ms La Crystal L Fuller, RNP, RNFA in Fullerton, CA

Ms La Crystal L Fuller, RNP, RNFA is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Fullerton, California. Her current practice location is 1950 Sunny Crest Dr, Suite 2800 Medical Center For Women, Fullerton, California. You can reach out to her office (for appointments etc.) via phone at (714) 992-5350.

Ms La Crystal L Fuller is licensed to practice in California (license number 14784) 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 1093894594.

Contact Information

	Ms La Crystal L Fuller, RNP, RNFA
	1950 Sunny Crest Dr, Suite 2800 Medical Center For Women, Fullerton, CA 92835-3638
	(714) 992-5350
	(714) 992-8156

Map and Direction

Provider's Profile

Full Name	Ms La Crystal L Fuller
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1950 Sunny Crest Dr, Fullerton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093894594
Provider Enumeration Date: 11/03/2006
Last Update Date: 10/22/2024

Medicare PECOS Information:

PECOS PAC ID: 6800993452
Enrollment ID: I20070516000539

Medical Identifiers

Medical identifiers for Ms La Crystal L Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093894594	NPI	-	NPPES
14784	Other	CA	LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	14784 (California)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	14784 (California)	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. Ms La Crystal L Fuller allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

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 La Crystal L 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 La Crystal L Fuller, RNP, RNFA 1950 Sunny Crest Dr, Suite 2800 Medical Center For Women, Fullerton, CA 92835-3638 Ph: (714) 992-5350	Ms La Crystal L Fuller, RNP, RNFA 1950 Sunny Crest Dr, Suite 2800 Medical Center For Women, Fullerton, CA 92835-3638 Ph: (714) 992-5350

Reviews and Comments

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Ms La Crystal L Fuller, RNP, RNFA - Medicare Nurse Practitioner in Fullerton, CA