Dr Gregory W Fuller, DO - Medicare Emergency Medicine in Jackson, MI

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Dr Gregory W Fuller, DO is a medicare enrolled "Emergency Medicine" physician in Jackson, Michigan. His current practice location is 1006 Airport Rd, Jackson, Michigan. You can reach out to his office (for appointments etc.) via phone at (517) 784-6663.

Dr Gregory W Fuller is licensed to practice in Michigan (license number 5101012543) 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 1174569107.

Contact Information

Dr Gregory W Fuller, DO
1006 Airport Rd,
Jackson, MI 49202-1851
(517) 784-6663
(517) 787-7976

Map and Direction




Physician's Profile

Full NameDr Gregory W Fuller
GenderMale
SpecialityEmergency Medicine
Location1006 Airport Rd, Jackson, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174569107
  • Provider Enumeration Date: 06/20/2006
  • Last Update Date: 09/23/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2062315948
  • Enrollment ID: I20040128001055

Medical Identifiers

Medical identifiers for Dr Gregory W Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174569107NPI-NPPES
114545400MedicaidMI
GF012543OtherMIBLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207PE0004XEmergency Medicine - Emergency Medical Services 012543 (Michigan)Secondary
207Q00000XFamily Medicine OS5478 (Florida)Secondary
207P00000XEmergency Medicine 5101012543 (Michigan)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 Gregory W Fuller allows following entities to bill medicare on his behalf.
Entity NameSparrow Ionia Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700820065
PECOS PAC ID: 0042118887
Enrollment ID: O20031230000664
Entity NameEmergency Department Physicians Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225083595
PECOS PAC ID: 9436048998
Enrollment ID: O20040312000466
Entity NameObservation Emergency Physicians Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497920524
PECOS PAC ID: 9133292410
Enrollment ID: O20080719000024
Entity NameDegara App Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265976971
PECOS PAC ID: 7618251398
Enrollment ID: O20170223001941
Entity NameVituity - Michigan Em Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144892332
PECOS PAC ID: 8022414010
Enrollment ID: O20210830002859

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 Gregory W 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 AddressPractice Location Address
Dr Gregory W Fuller, DO
1006 Airport Rd,
Jackson, MI 49202-1851

Ph: (517) 784-6663		Dr Gregory W Fuller, DO
1006 Airport Rd,
Jackson, MI 49202-1851

Ph: (517) 784-6663

Reviews and Comments


Emergency Medicine Doctors in Jackson, MI

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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.