Dr Ithiel Loken Ames Fuller, MD is a medicare enrolled "Anesthesiology" physician in Brattleboro, Vermont. He graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice North American Partners In Anesthesia Connecticut Pc and his current practice location is
17 Belmont Ave, Anesthesiology Dept, Brattleboro, Vermont. You can reach out to his office (for appointments etc.) via phone at
(802) 257-8220.
Dr Ithiel Loken Ames Fuller is licensed to practice in Connecticut (license number 67242) 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 1821217746.
Physician's Profile
| Full Name | Dr Ithiel Loken Ames Fuller |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Experience | 19 Years |
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| Location | 17 Belmont Ave, Brattleboro, Vermont |
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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 Ithiel Loken Ames Fuller graduated from medical school in 2005
NPI Data:
- NPI Number: 1821217746
- Provider Enumeration Date: 04/25/2007
- Last Update Date: 04/01/2021
Medicare PECOS Information:
- PECOS PAC ID: 0941355382
- Enrollment ID: I20210405002298
Medical Identifiers
Medical identifiers for Dr Ithiel Loken Ames Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1821217746 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207L00000X | Anesthesiology | 0420011774 (Vermont) | Secondary |
| 207L00000X | Anesthesiology | 67242 (Connecticut) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| North American Partners In Anesthesia Connecticut Pc | 6709877939 | 45 |
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 Ithiel Loken Ames Fuller allows following entities to bill medicare on his behalf.
| Entity Name | North American Partners In Anesthesia Connecticut Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316994775
PECOS PAC ID: 6709877939
Enrollment ID: O20040519000120 |
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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 Ithiel Loken Ames 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 |
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Dr Ithiel Loken Ames Fuller, MD
320 Pomfret St,
Putnam, CT 06260-1836
Ph: (802) 760-8259 | Dr Ithiel Loken Ames Fuller, MD
17 Belmont Ave, Anesthesiology Dept,
Brattleboro, VT 05301-7601
Ph: (802) 257-8220 |
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