Dr Rawley Harrison Fuller Iv, DDS, PA in Burlington, NC

Dr Rawley Harrison Fuller Iv, DDS, PA is a medicare enrolled "Dentist - General Practice" provider in Burlington, North Carolina. His current practice location is 3450 Forestdale Dr, Burlington, North Carolina. You can reach out to his office (for appointments etc.) via phone at (336) 226-0855.

Dr Rawley Harrison Fuller Iv is licensed to practice in North Carolina (license number 6491) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1215000864.

Contact Information

	Dr Rawley Harrison Fuller Iv, DDS, PA
	3450 Forestdale Dr, Burlington, NC 27215-9142
	(336) 226-0855
	(336) 226-0137

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Rawley Harrison Fuller Iv
Gender	Male
Speciality	Dentist - General Practice
Location	3450 Forestdale Dr, Burlington, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215000864
Provider Enumeration Date: 11/15/2006
Last Update Date: 11/20/2008

Medicare PECOS Information:

PECOS PAC ID: 0042522526
Enrollment ID: I20150713000922

Medical Identifiers

Medical identifiers for Dr Rawley Harrison Fuller Iv such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215000864	NPI	-	NPPES
8992953	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	6491 (North 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. Dr Rawley Harrison Fuller Iv allows following entities to bill medicare on his behalf.

Entity Name	Rawley H Fuller Iv Dds Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609949155 PECOS PAC ID: 4789996364 Enrollment ID: O20150710000511

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 Rawley Harrison Fuller Iv 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 Rawley Harrison Fuller Iv, DDS, PA 3450 Forestdale Dr, Burlington, NC 27215-9142 Ph: (336) 226-0855	Dr Rawley Harrison Fuller Iv, DDS, PA 3450 Forestdale Dr, Burlington, NC 27215-9142 Ph: (336) 226-0855

Reviews and Comments

Dentist in Burlington, NC

Dr. Joe Knox Harris Jr., DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1610 Vaughn Rd, Suite, Burlington, NC 27217 Phone: 336-226-6812 Fax: 336-226-0750
Mr. James Robert Vandre, DDS Dentist Medicare: Medicare Enrolled Practice Location: 3008 S Church Street, #b, Burlington, NC 27215 Phone: 336-584-7004
Roberta C Osborn, DDS Dentist Medicare: Medicare Enrolled Practice Location: 319 N Graham Hopedale Rd Fl B, Burlington, NC 27217 Phone: 336-513-2259 Fax: 336-513-5593
Dr. Sae Kyu Kim, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1595 Glidewell Dr, Suite 104, Burlington, NC 27215 Phone: 336-524-0099
Mariann Ghaly, DMD Dentist Medicare: Medicare Enrolled Practice Location: 3450 Forestdale Dr, Burlington, NC 27215 Phone: 336-226-0855
Laurin B Easthom, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1914 Mckinney St, Burlington, NC 27217 Phone: 336-570-6415
Dr. Tracy Michelle Edwards, DDS Dentist Medicare: Medicare Enrolled Practice Location: 3320 S Church St, Correct Time Plaza, Burlington, NC 27215 Phone: 336-584-7728 Fax: 336-584-8730

Dr Rawley Harrison Fuller Iv, DDS, PA - Medicare Dentist in Burlington, NC