Bryan Dale Fuller, MD - Medicare Obstetrics & Gynecology in Conway, AR

  1. Home
  2. Obstetrics & Gynecology
  3. AR
  4. Conway
Bryan Dale Fuller, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Conway, Arkansas. His current practice location is 625 United Dr Ste 220, Conway, Arkansas. You can reach out to his office (for appointments etc.) via phone at (501) 499-8300.

Bryan Dale Fuller is licensed to practice in Arkansas (license number E4442) 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 1487694790.

Contact Information

Bryan Dale Fuller, MD
625 United Dr Ste 220,
Conway, AR 72032-7835
(501) 499-8300
(501) 379-8428

Map and Direction




Physician's Profile

Full NameBryan Dale Fuller
GenderMale
SpecialityObstetrics & Gynecology
Location625 United Dr Ste 220, Conway, Arkansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1487694790
  • Provider Enumeration Date: 06/07/2006
  • Last Update Date: 07/08/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7315953544
  • Enrollment ID: I20070221000625

Medical Identifiers

Medical identifiers for Bryan Dale Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487694790NPI-NPPES
5N365OtherARBLUE/CROSS PROVIDER NO.

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology E4442 (Arkansas)Primary
174400000XSpecialist E4442 (Arkansas)Secondary

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. Bryan Dale Fuller allows following entities to bill medicare on his behalf.
Entity NameDhp Of Arkansas Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992068878
PECOS PAC ID: 3779731104
Enrollment ID: O20120910000729
Entity NameNatural State Practice Management
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750945176
PECOS PAC ID: 7719218478
Enrollment ID: O20191010000146

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. Bryan Dale 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
Bryan Dale Fuller, MD
625 United Dr Ste 330,
Conway, AR 72032-7828

Ph: (501) 499-8300		Bryan Dale Fuller, MD
625 United Dr Ste 220,
Conway, AR 72032-7835

Ph: (501) 499-8300

Reviews and Comments


Obstetrics & Gynecology Doctors in Conway, AR

Keitha Dewitt Holland, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 2180 Ada Avenue, Suite 300, Conway, AR 72034
Phone: 501-327-6547    Fax: 501-327-3478
Paul Lewis Mcchristian, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 2519 College Ave, Conway, AR 72034
Phone: 501-327-6547    Fax: 501-327-9715
Dr. Brandie Mcnabb Martin, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 2519 College Ave, Conway, AR 72034
Phone: 501-450-3920    Fax: 501-450-7718
Dr. Debra C Lawrence, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 2519 College Ave, Conway, AR 72034
Phone: 501-450-3920    Fax: 501-450-7718
Audrey Tobey, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 625 United Dr Ste 420, Conway, AR 72032
Phone: 501-358-6941    
Phillip Thomas Gullic, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 2180 Ada Avenue, Suite 300, Conway, AR 72034
Phone: 501-327-6547    Fax: 501-327-9715
Andrew Axley Cole, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 2180 Ada Avenue, Suite 300, Conway, AR 72034
Phone: 501-327-6547    Fax: 501-327-9715

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.