| Dr Benjamin Fuller, MD | |
|
2116 Craig Rd, Eau Claire, WI 54701-6149 | |
| (715) 858-4500 | |
| Not Available |
| Full Name | Dr Benjamin Fuller |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 9 Years |
| Location | 2116 Craig Rd, Eau Claire, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841710902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 68658 (Minnesota) | Secondary |
| 207L00000X | Anesthesiology | 2019017103 (Missouri) | Secondary |
| 207L00000X | Anesthesiology | 87406 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Livingston County Hospice | Mount morris, NY | Hospice |
| Park Nicollet Methodist Hospital | Saint louis park, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mchs Hospitals Inc | 5698071173 | 1195 |
| Metropolitan Anesthesia Network Llp | 5698689123 | 516 |
| Entity Name | Marshfield Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952347981 PECOS PAC ID: 2264345206 Enrollment ID: O20031106000590 |
| Entity Name | Beaver Dam Community Hospitals Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972188555 PECOS PAC ID: 2567370539 Enrollment ID: O20040210000666 |
| Entity Name | Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346239373 PECOS PAC ID: 2365433224 Enrollment ID: O20040519001426 |
| Entity Name | Flambeau Hospital, Inc. |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1700963048 PECOS PAC ID: 9032029871 Enrollment ID: O20070828000478 |
| Entity Name | Memorial Hospital Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1346239373 PECOS PAC ID: 2365433224 Enrollment ID: O20110526000807 |
| Entity Name | Mchs Hospitals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093221434 PECOS PAC ID: 5698071173 Enrollment ID: O20180208000096 |
| Entity Name | Lakeview Medical Center Inc of Rice Lake |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093201832 PECOS PAC ID: 6103737820 Enrollment ID: O20180817001484 |
| Entity Name | Mchs Hospitals Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1952890873 PECOS PAC ID: 5698071173 Enrollment ID: O20180904002962 |
| Entity Name | Flambeau Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194317966 PECOS PAC ID: 9032029871 Enrollment ID: O20210409000059 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Benjamin Fuller, MD 420 Delaware St Se, Minneapolis, MN 55455-0341 Ph: Not Available | Dr Benjamin Fuller, MD 2116 Craig Rd, Eau Claire, WI 54701-6149 Ph: (715) 858-4500 |
Michael Q Milz, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1221 Whipple St, Eau Claire, WI 54703 Phone: 715-838-3311 |
Eric D Etzel, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1221 Whipple St, Eau Claire, WI 54703 Phone: 715-838-3311 |
Tasha Jo Hay, DNAP, ARPN, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1400 Bellinger St, Eau Claire, WI 54703 Phone: 715-838-5222 |
John M Evans, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1221 Whipple St, Eau Claire, WI 54703 Phone: 715-838-3311 |
Frederick P Fetzer, DO Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2116 Craig Road, Eau Claire, WI 54701 Phone: 715-387-7179 |
Melissa Kenevan, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1400 Bellinger St, Eau Claire, WI 54703 Phone: 715-838-5222 |
Steven M Kapla, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1221 Whipple St, Eau Claire, WI 54703 Phone: 715-838-3311 |