Dr John Bryant Fuller, MD is a medicare enrolled "Orthopaedic Surgery" physician in New Port Richey, Florida. He graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Southwest Medical Associates, Llc and his current practice location is
5145 Deer Park Dr, New Port Richey, Florida. You can reach out to his office (for appointments etc.) via phone at
(904) 501-0083.
Dr John Bryant Fuller is licensed to practice in New Mexico (license number MD2024-0084) 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 1720469174.
Physician's Profile
| Full Name | Dr John Bryant Fuller |
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| Gender | Male |
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| Speciality | Orthopedic Surgery |
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| Experience | 9 Years |
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| Location | 5145 Deer Park Dr, New Port Richey, Florida |
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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:
- Dr John Bryant Fuller graduated from medical school in 2015
NPI Data:
- NPI Number: 1720469174
- Provider Enumeration Date: 06/11/2015
- Last Update Date: 03/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 4789992108
- Enrollment ID: I20240207003858
Medical Identifiers
Medical identifiers for Dr John Bryant Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720469174 | NPI | - | NPPES |
| MD2024-0084 | Other | NM | NM LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207XS0106X | Orthopaedic Surgery - Hand Surgery | ME155800 (Florida) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Florida) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Texas) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (New Mexico) | Secondary |
| 207X00000X | Orthopaedic Surgery | MD2024-0084 (New Mexico) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Southwest Medical Associates, Llc | 7214831114 | 291 |
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. Dr John Bryant Fuller allows following entities to bill medicare on his behalf.
| Entity Name | Southwest Medical Associates, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164491072
PECOS PAC ID: 7214831114
Enrollment ID: O20031121000724 |
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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. Dr John Bryant 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 |
|---|
Dr John Bryant Fuller, MD
Po Box 874,
Port Richey, FL 34673-0874
Ph: (904) 501-0083 | Dr John Bryant Fuller, MD
5145 Deer Park Dr,
New Port Richey, FL 34653-7013
Ph: (904) 501-0083 |
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