Dr Mark Avery Fuller, MD - Medicare General Practice in Bayfield, WI

Dr Mark Avery Fuller, MD is a medicare enrolled "Internal Medicine" physician in Bayfield, Wisconsin. He went to Michigan State University College Of Human Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as General Practice. He is a member of the group practice Red Cliff Band Of Lake Superior Chippewa Indians and his current practice location is 36745 Aiken Rd, Bayfield, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (715) 779-3707.

Dr Mark Avery Fuller is licensed to practice in Wisconsin (license number 1901-320) 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 1124055561.

Contact Information

Dr Mark Avery Fuller, MD
36745 Aiken Rd,
Bayfield, WI 54814-4579
(715) 779-3707
(715) 779-3362

Map and Direction




Physician's Profile

Full NameDr Mark Avery Fuller
GenderMale
SpecialityGeneral Practice
Experience28 Years
Location36745 Aiken Rd, Bayfield, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Mark Avery Fuller attended and graduated from Michigan State University College Of Human Medicine in 1996
  NPI Data:
  • NPI Number: 1124055561
  • Provider Enumeration Date: 06/28/2006
  • Last Update Date: 06/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3577587351
  • Enrollment ID: I20220719002767

Medical Identifiers

Medical identifiers for Dr Mark Avery Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124055561NPI-NPPES
3536500MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist 4301093004 (Michigan)Secondary
207R00000XInternal Medicine 1901-320 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial Medical CenterAshland, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Red Cliff Band Of Lake Superior Chippewa Indians428453758011

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 Mark Avery Fuller allows following entities to bill medicare on his behalf.
Entity NameRed Cliff Band Of Lake Superior Chippewa Indians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497744015
PECOS PAC ID: 4284537580
Enrollment ID: O20040202000406

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 Mark Avery 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
Dr Mark Avery Fuller, MD
638 Lake Ave,
Ironwood, MI 49938-1424

Ph: (906) 364-7105
Dr Mark Avery Fuller, MD
36745 Aiken Rd,
Bayfield, WI 54814-4579

Ph: (715) 779-3707

Reviews and Comments


Internal Medicine Doctors in Bayfield, WI


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.