Dr Brian Fuller, DO in Laurys Station, PA

Dr Brian Fuller, DO is a medicare enrolled "Pediatrics" physician in Laurys Station, Pennsylvania. His current practice location is 5649 Wynnewood Dr Ste 104, Laurys Station, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (610) 262-6641.

Dr Brian Fuller is licensed to practice in Pennsylvania (license number OS021622) 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 1427540178.

Contact Information

	Dr Brian Fuller, DO
	5649 Wynnewood Dr Ste 104, Laurys Station, PA 18059-1124
	(610) 262-6641
	(610) 262-0428

Map and Direction

Physician's Profile

Full Name	Dr Brian Fuller
Gender	Male
Speciality	Pediatrics
Location	5649 Wynnewood Dr Ste 104, Laurys Station, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427540178
Provider Enumeration Date: 05/30/2018
Last Update Date: 12/22/2021

Medicare PECOS Information:

PECOS PAC ID: 1658626049
Enrollment ID: I20220104000002

Medical Identifiers

Medical identifiers for Dr Brian Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427540178	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	OS021622 (Pennsylvania)	Primary

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 Brian Fuller allows following entities to bill medicare on his behalf.

Entity Name	Lehigh Valley Physician Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457309650 PECOS PAC ID: 3072425123 Enrollment ID: O20040227000335

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 Brian 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
Dr Brian Fuller, DO Po Box 783311, Philadelphia, PA 19178-3311 Ph: (484) 884-4500	Dr Brian Fuller, DO 5649 Wynnewood Dr Ste 104, Laurys Station, PA 18059-1124 Ph: (610) 262-6641

Reviews and Comments

Pediatrics Doctors in Laurys Station, PA

Dr. Barbara Levin Katz, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5649 Wynnewood Dr, Suite 104, Laurys Station, PA 18059 Phone: 610-262-6641 Fax: 610-262-0428
Colleen Mccamant Fitzpatrick, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5649 Wynnewood Dr, Suite 104, Laurys Station, PA 18059 Phone: 610-262-6641 Fax: 610-262-0428
Nicole Zeiner, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5649 Wynnewood Dr Ste 104, Laurys Station, PA 18059 Phone: 610-262-6647
Viktoriya Wolfe, Pediatrics Medicare: Medicare Enrolled Practice Location: 5649 Wynnewood Dr Ste 104, Laurys Station, PA 18059 Phone: 610-262-6641
Alisa Chanchenchop, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 5649 Wynnewood Dr Ste 104, Laurys Station, PA 18059 Phone: 610-262-6641

Dr Brian Fuller, DO - Medicare Pediatrics in Laurys Station, PA