Nicky Fuller, in Deerfield Beach, FL - Medicare Nurse Practitioner

Nicky Fuller, is a medicare enrolled "Nurse Practitioner - Family" in Deerfield Beach, Florida. Her current practice location is 1 W Sample Rd Ste 103, Deerfield Beach, Florida. You can reach out to her office (for appointments etc.) via phone at (954) 942-6868.

Nicky Fuller is licensed to practice in Florida (license number APRN11003023) 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 1902468556.

Contact Information

	Nicky Fuller,
	1 W Sample Rd Ste 103, Deerfield Beach, FL 33064-3547
	(954) 942-6868
	(954) 942-6854

Map and Direction

Provider's Profile

Full Name	Nicky Fuller
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1 W Sample Rd Ste 103, Deerfield Beach, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902468556
Provider Enumeration Date: 07/03/2019
Last Update Date: 01/18/2023

Medicare PECOS Information:

PECOS PAC ID: 4284024068
Enrollment ID: I20211209002761

Medical Identifiers

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

Identifier	Type	State	Issuer
1902468556	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	11003023 (Florida)	Secondary
363LF0000X	Nurse Practitioner - Family	APRN11003023 (Florida)	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. Nicky Fuller allows following entities to bill medicare on her behalf.

Entity Name	Ent And Allergy Associates Of Florida, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164473120 PECOS PAC ID: 0042292849 Enrollment ID: O20040604000553

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. Nicky 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
Nicky Fuller, 3201 Nw 45th Ter, Lauderdale Lakes, FL 33319-5744 Ph: (786) 479-9977	Nicky Fuller, 1 W Sample Rd Ste 103, Deerfield Beach, FL 33064-3547 Ph: (954) 942-6868

Reviews and Comments

Nurse Practitioner Nurses in Deerfield Beach, FL

Mrs. Katrina Butler Murray, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 700 W Hillsboro Blvd Ste 203, Deerfield Beach, FL 33441 Phone: 954-990-2050
Cristalle Haye, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 677 Trace Cir, Deerfield Beach, FL 33441 Phone: 954-363-1011
Ms. Nathalie Dagobert, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 505 S Federal Hwy, Deerfield Beach, FL 33441 Phone: 954-793-1176
Ms. Danielle Moffatt Linden, ARNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1861 W. Hillsboro Blvd., Deerfield Beach, FL 33442 Phone: 954-422-8941 Fax: 954-422-8941
Edelyne Neas, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1801 W Sample Rd Ste 100, Deerfield Beach, FL 33064 Phone: 561-396-7742 Fax: 888-365-3056
Lesly Vazquez, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 677 Trace Cir, Suite # 210, Deerfield Beach, FL 33441 Phone: 954-363-1101
Kimberly Marie Kodzik, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3599 W Hillsboro Blvd, Deerfield Beach, FL 33442 Phone: 954-309-5736

Nicky Fuller, - Medicare Nurse Practitioner in Deerfield Beach, FL