Ms Lori Dillard Fuquay, FNP in Tyler, TX - Medicare Nurse Practitioner

Ms Lori Dillard Fuquay, FNP is a medicare enrolled "Nurse Practitioner" in Tyler, Texas. She graduated from nursing school in 2006 and has 18 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice East Lake Medical, Pllc and her current practice location is 520 Douglas Blvd, Tyler, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 606-1721.

Ms Lori Dillard Fuquay is licensed to practice in Texas (license number AP120850) 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 1407990872.

Contact Information

	Ms Lori Dillard Fuquay, FNP
	520 Douglas Blvd, Tyler, TX 75702-8307
	(903) 606-1721
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Lori Dillard Fuquay
Gender	Female
Speciality	Nurse Practitioner
Experience	18 Years
Location	520 Douglas Blvd, Tyler, Texas
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:

Ms Lori Dillard Fuquay graduated from nursing school in 2006

NPI Data:

NPI Number: 1407990872
Provider Enumeration Date: 02/17/2007
Last Update Date: 03/17/2022

Medicare PECOS Information:

PECOS PAC ID: 9335289917
Enrollment ID: I20120105000488

Medical Identifiers

Medical identifiers for Ms Lori Dillard Fuquay such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407990872	NPI	-	NPPES
1X7132	Other	TX	MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	131861 (North Carolina)	Secondary
363LF0000X	Nurse Practitioner - Family	811726 (Texas)	Secondary
363L00000X	Nurse Practitioner	AP120850 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Christus Mother Frances Hospital	Tyler, TX	Hospital
Ut Health East Texas Tyler Regional Hospital	Tyler, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
East Lake Medical, Pllc	2961885850	3

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 Lori Dillard Fuquay allows following entities to bill medicare on her behalf.

Entity Name	East Texas Medical Center Healthcare Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124062484 PECOS PAC ID: 3678486222 Enrollment ID: O20031114000152

Entity Name	Christus Trinity Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091

Entity Name	East Lake Medical, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497494777 PECOS PAC ID: 2961885850 Enrollment ID: O20220809003994

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 Lori Dillard Fuquay 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 Lori Dillard Fuquay, FNP Po Box 846098, Dallas, TX 75284-6098 Ph: (903) 324-6400	Ms Lori Dillard Fuquay, FNP 520 Douglas Blvd, Tyler, TX 75702-8307 Ph: (903) 606-1721

Reviews and Comments

Nurse Practitioner Nurses in Tyler, TX

Brandi Dunford, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 910 E Houston St Ste 330, Tyler, TX 75702 Phone: 903-606-7995
Jacob G Thoele, AGACNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 910 E Houston St Ste 550, Tyler, TX 75702 Phone: 903-606-8718 Fax: 903-606-1218
Abram Ambriz, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2608 Mcdonald Rd, Tyler, TX 75701 Phone: 903-595-5514 Fax: 903-262-3715
Anna Elise Fenton, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6210 S Broadway Ave, Tyler, TX 75703 Phone: 903-579-2700 Fax: 903-579-2799
Mary Anne Fitzgerald, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 815 N Broadway Ave, Tyler, TX 75702 Phone: 903-535-0023 Fax: 903-535-0052
Rendall Northcutt, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11937 Us Highway 271, Tyler, TX 75708 Phone: 903-877-7200 Fax: 903-877-5080
Kinsey Henry, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1720 S Beckham Ave, Tyler, TX 75701 Phone: 903-630-6211

Ms Lori Dillard Fuquay, FNP - Medicare Nurse Practitioner in Tyler, TX