Brenna Sullivan Fullerton, MD - Medicare General Surgery in Orlando, FL

Brenna Sullivan Fullerton, MD is a medicare enrolled "Surgery - Pediatric Surgery" physician in Orlando, Florida. She graduated from medical school in 2011 and has 15 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Orlando Health Medical Group Inc and her current practice location is 1720 S Orange Ave Ste 500, Orlando, Florida. You can reach out to her office (for appointments etc.) via phone at (140) 754-0100.

Brenna Sullivan Fullerton is licensed to practice in Florida (license number ME150199) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1366741720.

Contact Information

Brenna Sullivan Fullerton, MD
1720 S Orange Ave Ste 500,
Orlando, FL 32806-2967
(140) 754-0100
(407) 540-1011

Map and Direction




Physician's Profile

Full NameBrenna Sullivan Fullerton
GenderFemale
SpecialityGeneral Surgery
Experience15 Years
Location1720 S Orange Ave Ste 500, Orlando, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Brenna Sullivan Fullerton graduated from medical school in 2011
  NPI Data:
  • NPI Number: 1366741720
  • Provider Enumeration Date: 03/23/2011
  • Last Update Date: 08/20/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0143623488
  • Enrollment ID: I20210726000365

Medical Identifiers

Medical identifiers for Brenna Sullivan Fullerton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366741720NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 259770 (Massachusetts)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
2086S0120XSurgery - Pediatric Surgery ME150199 (Florida)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Orlando Health Medical Group Inc95370590842132

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. Brenna Sullivan Fullerton allows following entities to bill medicare on her behalf.
Entity NameOrlando Health Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669429577
PECOS PAC ID: 9537059084
Enrollment ID: O20040318000044

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. Brenna Sullivan Fullerton 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
Brenna Sullivan Fullerton, MD
1720 S Orange Ave Ste 500,
Orlando, FL 32806-2967

Ph: (140) 754-0100
Brenna Sullivan Fullerton, MD
1720 S Orange Ave Ste 500,
Orlando, FL 32806-2967

Ph: (140) 754-0100

Reviews and Comments


Surgery Doctors in Orlando, FL

Dr. George Malcolm White, M.D.
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Phone: 407-841-2100    Fax: 407-841-5705
Dr. Christopher Thomas Aquina, MD, MPH
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Leanne M Iorio, DO
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Ahmet Celal Toprak, MD
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Phone: 214-648-2168    Fax: 214-648-7517
Dr. Clayton S Hann, MD
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Practice Location: 1010 Arthur Ave, Orlando, FL 32804
Phone: 352-329-1100    
Mauricio Perez Martinez, M.D.
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Practice Location: 7484 Docs Grove Cir, Orlando, FL 32819
Phone: 321-841-6444    Fax: 407-650-1307

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.