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

Tanya Fuller-pellin, FNP is a medicare enrolled "Nurse Practitioner - Family" in Clemson, South Carolina. Her current practice location is 220 Keowee Trl, Clemson, South Carolina. You can reach out to her office (for appointments etc.) via phone at (864) 653-4071.

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
220 Keowee Trl,
Clemson, SC 29631-1448
(864) 653-4071
Not Available



Provider's Profile

Full NameTanya Fuller-pellin
GenderFemale
SpecialityNurse Practitioner - Family
Location220 Keowee Trl, Clemson, 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: 12/08/2015
  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

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Entity NameBaptist Easley Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144452889
PECOS PAC ID: 0840337606
Enrollment ID: O20091027000684

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Entity NameProvidence House Calls Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689912495
PECOS PAC ID: 1759528250
Enrollment ID: O20130430000366

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Campaign for Disability Employment launched

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› Verified 5 days ago

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
14 Blue Slate Ct,
Greenville, SC 29607-5077

Ph: (864) 992-6902
Tanya Fuller-pellin, FNP
220 Keowee Trl,
Clemson, SC 29631-1448

Ph: (864) 653-4071

News Archive

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There are many faces of stroke. This year, 700,000 Americans of all ages, genders and ethnicities will have a new or recurrent stroke.

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› Verified 5 days ago


Nurse Practitioner Nurses in Clemson, SC

Ruth Anne Etter, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1300 Tiger Blvd, Clemson, SC 29631
Phone: 866-389-2727    
Mrs. Pamela Carraway Hitt, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1300 Tiger Blvd, Clemson, SC 29631
Phone: 864-653-6724    
Dr. Rosanne Harkey Pruitt, PHD, APRN,BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: Sullivan Ctr, 106 Edwards Hall, Clemson, SC 29634
Phone: 864-656-5528    Fax: 864-656-5488
Paula J Watt, PHD, APRN-BC, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 101 Edwards Hall, Clemson, SC 29634
Phone: 864-656-3076    Fax: 864-656-7694
Brandi Leigh Harper, DNP, APRN, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1300 Tiger Blvd, Clemson, SC 29631
Phone: 864-653-6724    
Pattie B Burriss, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 885 Tiger Blvd, Clemson, SC 29631
Phone: 864-654-6800    
Hilary Koster, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 101 Chapman Hill Rd, Clemson, SC 29631
Phone: 864-455-6900    Fax: 864-455-6469

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