Jo Fuller, APRN-CNP - Medicare Nurse Practitioner in Ardmore, OK

Jo Fuller, APRN-CNP is a medicare enrolled "Nurse Practitioner - Family" in Ardmore, Oklahoma. Her current practice location is 970 Northwest Blvd, Ardmore, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (580) 221-7500.

Jo Fuller is licensed to practice in Oklahoma (license number 75953) 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 1427472083.

Contact Information

Jo Fuller, APRN-CNP
970 Northwest Blvd,
Ardmore, OK 73401-1534
(580) 221-7500
(580) 490-9406



Provider's Profile

Full NameJo Fuller
GenderFemale
SpecialityNurse Practitioner - Family
Location970 Northwest Blvd, Ardmore, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1427472083
  • Provider Enumeration Date: 02/18/2014
  • Last Update Date: 02/18/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 4082845326
  • Enrollment ID: I20140328002033

Medical Identifiers

Medical identifiers for Jo Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427472083NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 75953 (Oklahoma)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. Jo Fuller allows following entities to bill medicare on her behalf.
Entity NameLifes Cycle Womens Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386738201
PECOS PAC ID: 4688617251
Enrollment ID: O20050604000080

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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. Jo 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
Jo Fuller, APRN-CNP
Po Box 216,
Ardmore, OK 73402-0216

Ph: (580) 221-7500
Jo Fuller, APRN-CNP
970 Northwest Blvd,
Ardmore, OK 73401-1534

Ph: (580) 221-7500

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Nurse Practitioner Nurses in Ardmore, OK

Susan Barbara Bezner, A.R.N.P.
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 731 12th Ave Nw, Suite #201, Ardmore, OK 73401
Phone: 580-224-9000    Fax: 580-224-9009
Tausha Zann Shelton, ARNP-CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1116 Walnut Dr, Ardmore, OK 73401
Phone: 580-226-0543    Fax: 580-226-2284
Toni Headstream, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1908 12th Ave Nw Ste E, Ardmore, OK 73401
Phone: 254-485-0338    
Mrs. Tina Diane Gerwin, NP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1570 Provence Rd, Ardmore, OK 73401
Phone: 580-220-4427    
Carrie Kaye Evans, APRN-CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 908 N Rockford Rd Ste A, Ardmore, OK 73401
Phone: 580-223-0447    Fax: 580-223-2989
Quashonda Anderson,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 510 Monroe St Nw, Ardmore, OK 73401
Phone: 580-504-2082    Fax: 580-226-5918
Angela Donnice Amparano, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2002 12th Ave Nw, Ardmore, OK 73401
Phone: 580-226-4580    

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