Dr Elzer T Fuller Jr, MD is a
General Practice physician based in London, Kentucky. Dr Elzer T Fuller Jr is licensed to practice in Kentucky (license number 19010) and his current practice location is 969 Laurel Cove Rd, London, Kentucky. He can be reached at his office (for appointments etc.) via phone at
(606) 843-2548.
NPI number for Dr Elzer T Fuller Jr is 1013961986 and his current mailing address is 969 Laurel Cove Rd, London, Kentucky. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1013961986.
Physician's Profile
Full Name | Dr Elzer T Fuller Jr |
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Gender | Male |
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Speciality | General Practice |
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Location | 969 Laurel Cove Rd, London, Kentucky |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1013961986
- Provider Enumeration Date: 05/22/2006
- Last Update Date: 01/13/2014
Medical Identifiers
Medical identifiers for Dr Elzer T Fuller Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013961986 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 19010 (Kentucky) | Primary |
207P00000X | Emergency Medicine | ME58598 (Florida) | Secondary |
207P00000X | Emergency Medicine | 19010 (Kentucky) | Secondary |
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 Elzer T Fuller Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Elzer T Fuller Jr, MD 969 Laurel Cove Rd, London, KY 40741-9024 Ph: (606) 843-2548 | Dr Elzer T Fuller Jr, MD 969 Laurel Cove Rd, London, KY 40741-9024 Ph: (606) 843-2548 |
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