Nichole Leshawn Fuller, in Rochester Hills, MI

Nichole Leshawn Fuller, is a medicare enrolled "Nurse Practitioner - Acute Care" in Rochester Hills, Michigan. Her current practice location is 1428 Leupp Ct, Rochester Hills, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 492-8911.

Nichole Leshawn Fuller is licensed to practice in Michigan (license number 4704280454) 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 1720584899.

Contact Information

	Nichole Leshawn Fuller,
	1428 Leupp Ct, Rochester Hills, MI 48307-3021
	(313) 492-8911
	Not Available

Map and Direction

Provider's Profile

Full Name	Nichole Leshawn Fuller
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	1428 Leupp Ct, Rochester Hills, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720584899
Provider Enumeration Date: 04/05/2018
Last Update Date: 04/05/2018

Medicare PECOS Information:

PECOS PAC ID: 5597190447
Enrollment ID: I20200122003168

Medical Identifiers

Medical identifiers for Nichole Leshawn Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720584899	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	4704280454 (Michigan)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	4704280454 (Michigan)	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. Nichole Leshawn Fuller allows following entities to bill medicare on her behalf.

Entity Name	Vpa Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336153295 PECOS PAC ID: 9234041948 Enrollment ID: O20031103000102

Entity Name	Halo Medical Group Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811214489 PECOS PAC ID: 1850587890 Enrollment ID: O20101202000201

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. Nichole Leshawn 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
Nichole Leshawn Fuller, 1428 Leupp Ct, Rochester Hills, MI 48307-3021 Ph: () -	Nichole Leshawn Fuller, 1428 Leupp Ct, Rochester Hills, MI 48307-3021 Ph: (313) 492-8911

Reviews and Comments

Nurse Practitioner Nurses in Rochester Hills, MI

Mrs. Jennifer Marie Anderson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2863 Corinthia Dr, Rochester Hills, MI 48309 Phone: 586-244-9359
Mimoza Zaka, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 289 Essex Dr, Rochester Hills, MI 48307 Phone: 248-247-6811
Jahnvi Patel, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 835 Monterey Ln, Rochester Hills, MI 48307 Phone: 248-835-4628
Lindsay Nicole Runft, DNP, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 455 Barclay Cir Ste D, Rochester Hills, MI 48307 Phone: 248-852-9596 Fax: 248-852-9453
Leeanne Attiq, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2863 S Rochester Rd,, Rochester Hills, MI 48307 Phone: 947-217-3600
Dr. Christina Knar Ritter, CPNP, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2370 Walton Blvd, Suite 3, Rochester Hills, MI 48309 Phone: 248-651-8197
Nicole Najor, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1701 South Blvd E Ste 300, Rochester Hills, MI 48307 Phone: 248-844-9710

Nichole Leshawn Fuller, - Medicare Nurse Practitioner in Rochester Hills, MI