Dr Patrick J Fullerton, DO | |
22326 Us Highway 27 Ste C, Leesburg, FL 34748 | |
(407) 635-3313 | |
(407) 636-7827 |
Full Name | Dr Patrick J Fullerton |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 23 Years |
Location | 22326 Us Highway 27 Ste C, Leesburg, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811039555 | NPI | - | NPPES |
OS8087 | Other | FL | MEDICAL LICENSE NUMBER |
015379100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | OS8087 (Florida) | Secondary |
208D00000X | General Practice | OS8087 (Florida) | Secondary |
207Q00000X | Family Medicine | OS8087 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Central Florida Regional Hospital | Sanford, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Vmd Primary Providers Central Florida Pllc | 2860806197 | 116 |
Entity Name | Central Florida Hospitalist Partners Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558381921 PECOS PAC ID: 5799689931 Enrollment ID: O20031120000518 |
Entity Name | Physician Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336137280 PECOS PAC ID: 0244135093 Enrollment ID: O20031204000591 |
Entity Name | Rmed Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508815358 PECOS PAC ID: 6608768411 Enrollment ID: O20040326000760 |
Entity Name | Florida Heart & Vascular Multi Specialty Group Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699769042 PECOS PAC ID: 6507839735 Enrollment ID: O20040817000130 |
Entity Name | Paragon Contracting Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225071459 PECOS PAC ID: 3971417825 Enrollment ID: O20041207001148 |
Entity Name | Polk Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558338574 PECOS PAC ID: 0547241598 Enrollment ID: O20050506000658 |
Entity Name | Tampa Bay Emergency Physicians, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114977428 PECOS PAC ID: 0345260345 Enrollment ID: O20051206000518 |
Entity Name | Muqeet Siddiqui, Md, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558616482 PECOS PAC ID: 4587818216 Enrollment ID: O20130206000060 |
Entity Name | Vmd Primary Providers Central Florida Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134738974 PECOS PAC ID: 2860806197 Enrollment ID: O20210128001072 |
Entity Name | Emergency Medicine Services Of Fl Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043917180 PECOS PAC ID: 8426413931 Enrollment ID: O20230504001881 |
Mailing Address | Practice Location Address |
---|---|
Dr Patrick J Fullerton, DO 22326 Us Highway 27 Ste C, Leesburg, FL 34748-7920 Ph: (407) 635-3313 | Dr Patrick J Fullerton, DO 22326 Us Highway 27 Ste C, Leesburg, FL 34748 Ph: (407) 635-3313 |
Dr. Deborah Marie Bellush, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1210 W Main St, Leesburg, FL 34748 Phone: 352-787-8489 | |
Luciano Oquendo Iii, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 711 W Main St, Leesburg, FL 34748 Phone: 352-435-4000 | |
Jamaal A Mcleod, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 550 E Dixie Ave, Leesburg, FL 34748 Phone: 352-323-2273 Fax: 352-323-2261 | |
Phuong - Thi Ngoc Tran, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 225 N 1st St, Leesburg, FL 34748 Phone: 407-905-8827 Fax: 352-360-2389 | |
Regina P Quinain, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 225 N 1st St, Leesburg, FL 34748 Phone: 407-905-8827 Fax: 352-360-2389 | |
Mr. Steven Eugene Hawk, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1801 Us Highway 441, Building 100, Leesburg, FL 34748 Phone: 352-460-4004 Fax: 352-460-4003 | |
Yashel Wedderburn Landell, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 8113 Centralia Ct Ste 102, Leesburg, FL 34788 Phone: 877-423-1330 |