Dr Charles Berry Fullenwider, MD is a medicare enrolled "Neurological Surgery" physician in Muskogee, Oklahoma. His current practice location is
4318 W Okmulgee St, Muskogee, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(918) 683-1238.
Dr Charles Berry Fullenwider is licensed to practice in Oklahoma (license number 12300) 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 1447245063.
Physician's Profile
| Full Name | Dr Charles Berry Fullenwider |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 4318 W Okmulgee St, Muskogee, Oklahoma |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Charles Berry Fullenwider attended and graduated from in
NPI Data:
- NPI Number: 1447245063
- Provider Enumeration Date: 09/20/2005
- Last Update Date: 05/01/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Charles Berry Fullenwider such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1447245063 | NPI | - | NPPES |
| 100100060A | Medicaid | OK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207T00000X | Neurological Surgery | 12300 (Oklahoma) | Primary |
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 Charles Berry Fullenwider 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 |
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Dr Charles Berry Fullenwider, MD
6600 S Yale Ave Ste 1400,
Tulsa, OK 74136-3331
Ph: () - | Dr Charles Berry Fullenwider, MD
4318 W Okmulgee St,
Muskogee, OK 74401-4648
Ph: (918) 683-1238 |
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