Mrs Stephanie Renee Fuller, MS, FNP-C - Medicare Nurse Practitioner in Dallas, TX

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Mrs Stephanie Renee Fuller, MS, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Dallas, Texas. Her current practice location is 5556 Cantabria Dr, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at (214) 405-5556.

Mrs Stephanie Renee Fuller is licensed to practice in Texas (license number AP131525) 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 1780138305.

Contact Information

Mrs Stephanie Renee Fuller, MS, FNP-C
5556 Cantabria Dr,
Dallas, TX 75248-6445
(214) 405-5556
Not Available

Map and Direction




Provider's Profile

Full NameMrs Stephanie Renee Fuller
GenderFemale
SpecialityNurse Practitioner - Family
Location5556 Cantabria Dr, Dallas, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1780138305
  • Provider Enumeration Date: 08/11/2016
  • Last Update Date: 08/05/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2668748369
  • Enrollment ID: I20201228001632

Medical Identifiers

Medical identifiers for Mrs Stephanie Renee Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780138305NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family AP131525 (Texas)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. Mrs Stephanie Renee Fuller allows following entities to bill medicare on her behalf.
Entity NameStatcare Urgent & Walk In Medical Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336426667
PECOS PAC ID: 3577724582
Enrollment ID: O20120419000228
Entity NamePark Avenue Pediatrics Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699969543
PECOS PAC ID: 6507010592
Enrollment ID: O20130128000388
Entity NameDivinity Medical Services Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497159560
PECOS PAC ID: 5193030245
Enrollment ID: O20150818005362
Entity NameHicksville Family Medical Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770813792
PECOS PAC ID: 7416290564
Enrollment ID: O20190514000263
Entity NameRockwell Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699479733
PECOS PAC ID: 5597125609
Enrollment ID: O20230721000287

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. Mrs Stephanie Renee 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 AddressPractice Location Address
Mrs Stephanie Renee Fuller, MS, FNP-C
302 Highway 3 S,
League City, TX 77573-3755

Ph: (281) 332-6573		Mrs Stephanie Renee Fuller, MS, FNP-C
5556 Cantabria Dr,
Dallas, TX 75248-6445

Ph: (214) 405-5556

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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