Tanya Fuller-pellin, FNP - Medicare Nurse Practitioner in Greenville, SC

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Tanya Fuller-pellin, FNP is a medicare enrolled "Nurse Practitioner - Family" in Greenville, South Carolina. Her current practice location is 255 Enterprise Blvd Ste 101, Greenville, South Carolina. You can reach out to her office (for appointments etc.) via phone at (864) 454-8120.

Tanya Fuller-pellin is licensed to practice in South Carolina (license number 19819) 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 1639544240.

Contact Information

Tanya Fuller-pellin, FNP
255 Enterprise Blvd Ste 101,
Greenville, SC 29615-3530
(864) 454-8120
(864) 454-8125

Map and Direction




Provider's Profile

Full NameTanya Fuller-pellin
GenderFemale
SpecialityNurse Practitioner - Family
Location255 Enterprise Blvd Ste 101, Greenville, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639544240
  • Provider Enumeration Date: 12/08/2015
  • Last Update Date: 07/19/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3173827250
  • Enrollment ID: I20160210001473

Medical Identifiers

Medical identifiers for Tanya Fuller-pellin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639544240NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 19819 (South Carolina)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. Tanya Fuller-pellin allows following entities to bill medicare on her behalf.
Entity NameInternal Medicine & Cardiology
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275561813
PECOS PAC ID: 9638135999
Enrollment ID: O20041208000415
Entity NameBaptist Easley Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144452889
PECOS PAC ID: 0840337606
Enrollment ID: O20091027000684
Entity NameProvidence House Calls Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689912495
PECOS PAC ID: 1759528250
Enrollment ID: O20130430000366

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. Tanya Fuller-pellin 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
Tanya Fuller-pellin, FNP
300 E Mcbee Ave Fl 4,
Greenville, SC 29601-2842

Ph: (864) 522-8603		Tanya Fuller-pellin, FNP
255 Enterprise Blvd Ste 101,
Greenville, SC 29615-3530

Ph: (864) 454-8120

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.