Dr Daniel Richards Fullmer, MD - Medicare Diagnostic Radiology in Lynnwood, WA

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Dr Daniel Richards Fullmer, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Lynnwood, Washington. He went to University Of Utah School Of Medicine and graduated in 1996 and has 29 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Radiology Alliance Pc, Sonoran Radiology Ltd, Virtual Radiologic Professionals Llc, Jackson Radiology Associates Pa, Fred Smeltzer Md And Associates Inc and his current practice location is 19020 33rd Ave W Ste 210, Lynnwood, Washington. You can reach out to his office (for appointments etc.) via phone at (425) 563-1500.

Dr Daniel Richards Fullmer is licensed to practice in Washington (license number MD00049079) 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 1114994738.

Contact Information

Dr Daniel Richards Fullmer, MD
19020 33rd Ave W Ste 210,
Lynnwood, WA 98036-4748
(425) 563-1500
(425) 563-1501

Map and Direction




Physician's Profile

Full NameDr Daniel Richards Fullmer
GenderMale
SpecialityDiagnostic Radiology
Experience29 Years
Location19020 33rd Ave W Ste 210, Lynnwood, Washington
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Daniel Richards Fullmer attended and graduated from University Of Utah School Of Medicine in 1996
  NPI Data:
  • NPI Number: 1114994738
  • Provider Enumeration Date: 03/02/2006
  • Last Update Date: 03/10/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1850204413
  • Enrollment ID: I20230926003115

Medical Identifiers

Medical identifiers for Dr Daniel Richards Fullmer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114994738NPI-NPPES
0285030OtherWAL&I-RADIA REST OF WA
0377766OtherWAL&I-SWEDISH RADIA EDMONDS
1114994738MedicaidID
1054630MedicaidWA
4019715OtherBCBS
0377759OtherWAL&I-RADIA KING COUNTY
4102721OtherBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology M-12249 (Idaho)Secondary
2085R0202XRadiology - Diagnostic Radiology MD00049079 (Washington)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Jackson-madison County General HospitalJackson, TNHospital
Self Regional HealthcareGreenwood, SCHospital
Ozarks Medical CenterWest plains, MOHospital
Tristar Centennial Medical CenterNashville, TNHospital
Abbeville Area Medical CenterAbbeville, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Radiology Alliance Pc1850280470301
Sonoran Radiology Ltd3375964505386
Virtual Radiologic Professionals Llc4981608817394
Jackson Radiology Associates Pa630589323126
Fred Smeltzer Md And Associates Inc892107830478

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 Daniel Richards Fullmer allows following entities to bill medicare on his behalf.
Entity NameVirtual Radiologic Professionals Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932342029
PECOS PAC ID: 4981608817
Enrollment ID: O20070507000035
Entity NameRadiology Alliance Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861478489
PECOS PAC ID: 1850280470
Enrollment ID: O20161007000641
Entity NameRadiology Specialists Ltd Marasso-miller
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437196979
PECOS PAC ID: 0143110874
Enrollment ID: O20191014001728
Entity NameFred Smeltzer Md & Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639122286
PECOS PAC ID: 8921078304
Enrollment ID: O20200309002596
Entity NameSonoran Radiology Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033745708
PECOS PAC ID: 3375964505
Enrollment ID: O20210608002054
Entity NameJackson Radiology Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699700716
PECOS PAC ID: 6305893231
Enrollment ID: O20230807001882
Entity NameNorthside Radiology Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013960657
PECOS PAC ID: 4486555398
Enrollment ID: O20240131001558
Entity NameAtlantic Radiology Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033136080
PECOS PAC ID: 5799706032
Enrollment ID: O20250221002377
Entity NameNorth Georgia Radiology
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922193044
PECOS PAC ID: 9032103296
Enrollment ID: O20250320000386

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 Daniel Richards Fullmer 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
Dr Daniel Richards Fullmer, MD
19020 33rd Ave W Ste 210,
Lynnwood, WA 98036-4748

Ph: (425) 563-1500		Dr Daniel Richards Fullmer, MD
19020 33rd Ave W Ste 210,
Lynnwood, WA 98036-4748

Ph: (425) 563-1500

Reviews and Comments


Radiology Doctors in Lynnwood, WA

Dr. Patrick T. Hurley, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 19020 33rd Ave W, Suite 210, Lynnwood, WA 98036
Phone: 425-563-1500    Fax: 425-563-1501
Dr. Michael Larson, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 19020 33rd Ave W Ste 210, Lynnwood, WA 98036
Phone: 425-563-1500    Fax: 425-563-1501
Dr. Brian James Mccallie, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 19020 33rd Ave W Ste 210, Lynnwood, WA 98036
Phone: 425-563-1500    Fax: 425-563-1501
Dr. Frederick Farzad Kash, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 19020 33rd Ave W Ste 210, Lynnwood, WA 98036
Phone: 425-563-1500    Fax: 425-563-1501
Dr. Germaine Richard Johnson, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 19020 33rd Ave W Ste 210, Lynnwood, WA 98036
Phone: 425-563-1500    Fax: 425-563-1501
Dr. Judson E Threlkeld, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 19020 33rd Ave W Ste 210, Lynnwood, WA 98036
Phone: 425-563-1500    Fax: 425-563-1501
Dr. Melissa A. Hayes Balmadrid, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 19020 33rd Ave W, Suite 210, Lynnwood, WA 98036
Phone: 425-563-1500    Fax: 425-563-1501

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.