Bryan Dale Fuller, MD in Conway, AR - Medicare Obstetrics/gynecology

Bryan Dale Fuller, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Conway, Arkansas. He went to University Of Arkansas College Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Obstetrics/gynecology. 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 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 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 Name	Bryan Dale Fuller
Gender	Male
Speciality	Obstetrics/gynecology
Experience	22 Years
Location	625 United Dr Ste 220, Conway, Arkansas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Bryan Dale Fuller attended and graduated from University Of Arkansas College Of Medicine in 2002

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.

Identifier	Type	State	Issuer
1487694790	NPI	-	NPPES
5N365	Other	AR	BLUE/CROSS PROVIDER NO.

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	E4442 (Arkansas)	Primary
174400000X	Specialist	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 Name	Natural State Practice Management
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750945176 PECOS PAC ID: 7719218478 Enrollment ID: O20191010000146

Entity Name	Bryan D Fuller Md Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184233173 PECOS PAC ID: 4880010925 Enrollment ID: O20200819002336

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 Address	Practice 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: Accepting Medicare Assignments 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

Bryan Dale Fuller, MD - Medicare Obstetrics/gynecology in Conway, AR