Nancy Fulmore, AGACNP-BC in Mesa, AZ - Medicare Nurse Practitioner

Nancy Fulmore, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Gerontology" in Mesa, Arizona. 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 Akdhc Llc and her current practice location is 6553 E Baywood Ave Ste 205, Mesa, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 626-2020.

Nancy Fulmore is licensed to practice in Arizona (license number 231655) 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 1023666146.

Contact Information

	Nancy Fulmore, AGACNP-BC
	6553 E Baywood Ave Ste 205, Mesa, AZ 85206-1754
	(480) 626-2020
	(480) 626-2022

Map and Direction

Provider's Profile

Full Name	Nancy Fulmore
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	6553 E Baywood Ave Ste 205, Mesa, Arizona
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:

Nancy Fulmore graduated from nursing school in 2019

NPI Data:

NPI Number: 1023666146
Provider Enumeration Date: 09/02/2019
Last Update Date: 12/19/2019

Medicare PECOS Information:

PECOS PAC ID: 1254591704
Enrollment ID: I20191011001926

Medical Identifiers

Medical identifiers for Nancy Fulmore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023666146	NPI	-	NPPES
586587	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	231655 (Arizona)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Akdhc Llc	8123912136	124

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. Nancy Fulmore allows following entities to bill medicare on her behalf.

Entity Name	Akdhc Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316902208 PECOS PAC ID: 8123912136 Enrollment ID: O20040211000250

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. Nancy Fulmore 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
Nancy Fulmore, AGACNP-BC 6622 N 91st Ave, Ste 220, Glendale, AZ 85305-2569 Ph: (602) 759-6883	Nancy Fulmore, AGACNP-BC 6553 E Baywood Ave Ste 205, Mesa, AZ 85206-1754 Ph: (480) 626-2020

Reviews and Comments

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Nancy Fulmore, AGACNP-BC - Medicare Nurse Practitioner in Mesa, AZ