Bryan H Fuller, MD is a medicare enrolled "Internal Medicine" physician in Ironton, Ohio. He went to Jc Edwards School Of Medicine, Marshall University and graduated in 1997 and has 27 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Somc Medical Care Foundation, Inc. and his current practice location is
1005 E Ring Rd, Ironton, Ohio. You can reach out to his office (for appointments etc.) via phone at
(740) 534-9830.
Bryan H Fuller is licensed to practice in Ohio (license number 35078023) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1104898592.
Physician's Profile
| Full Name | Bryan H Fuller |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 27 Years |
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| Location | 1005 E Ring Rd, Ironton, Ohio |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Bryan H Fuller attended and graduated from Jc Edwards School Of Medicine, Marshall University in 1997
NPI Data:
- NPI Number: 1104898592
- Provider Enumeration Date: 02/02/2006
- Last Update Date: 12/21/2020
Medicare PECOS Information:
- PECOS PAC ID: 2264400233
- Enrollment ID: I20041014000158
Medical Identifiers
Medical identifiers for Bryan H Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104898592 | NPI | - | NPPES |
| 2191453 | Medicaid | OH | |
| 000000634705 | Other | KY | ANTHEM BCBS |
| 000000653707 | Other | KY | ANTHEM BCBS |
| 000000380360 | Other | KY | ANTHEM BCBS |
| 000000594108 | Other | KY | ANTHEM BCBS |
| 64022601 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 35078023 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Somc Medical Care Foundation, Inc. | 9436061645 | 215 |
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. Bryan H Fuller allows following entities to bill medicare on his behalf.
| Entity Name | Somc Medical Care Foundation, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457467227
PECOS PAC ID: 9436061645
Enrollment ID: O20031125000203 |
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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. Bryan H 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 |
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Bryan H Fuller, MD
1735 27th St Ste B06,
Portsmouth, OH 45662-2681
Ph: (740) 356-8681 | Bryan H Fuller, MD
1005 E Ring Rd,
Ironton, OH 45638-9610
Ph: (740) 534-9830 |
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