Dr Keith Lyle Fuller, DO in Opelika, AL - Medicare Family Practice

Dr Keith Lyle Fuller, DO is a medicare enrolled "Family Medicine" physician in Opelika, Alabama. He went to West Virginia School Of Osteopathic Medicine and graduated in 1992 and has 33 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice East Alabama Family Practice, P.c. and his current practice location is 2214 Gateway Dr, Suite C, Opelika, Alabama. You can reach out to his office (for appointments etc.) via phone at (334) 741-0075.

Dr Keith Lyle Fuller is licensed to practice in Alabama (license number DO350) 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 1730125527.

Contact Information

	Dr Keith Lyle Fuller, DO
	2214 Gateway Dr, Suite C, Opelika, AL 36801-1500
	(334) 741-0075
	(334) 741-4075

Map and Direction

Physician's Profile

Full Name	Dr Keith Lyle Fuller
Gender	Male
Speciality	Family Practice
Experience	33 Years
Location	2214 Gateway Dr, Opelika, Alabama
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Keith Lyle Fuller attended and graduated from West Virginia School Of Osteopathic Medicine in 1992

NPI Data:

NPI Number: 1730125527
Provider Enumeration Date: 06/21/2006
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 9335100148
Enrollment ID: I20051128000429

Medical Identifiers

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

Identifier	Type	State	Issuer
1730125527	NPI	-	NPPES
DO350	Other	AL	MEDICAL LICENSE
000026574	Medicaid	AL
51026574	Other	AL	BLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	DO350 (Alabama)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Southeast Hospice Network, Llc	Jasper, AL	Hospice
Chattahoochee Hospice Inc	Valley, AL	Hospice
Gentiva Hospice - Phenix City	Phenix city, AL	Hospice
East Alabama Medical Center And Snf	Opelika, AL	Hospital
Jack Hughston Memorial Hospital	Phenix city, AL	Hospital
University Of Alabama Hospital	Birmingham, AL	Hospital
Tanner Medical Center-east Alabama	Wedowee, AL	Hospital
Arbor Springs Health And Rehab Center, Ltd	Opelika, AL	Nursing home
Parkwood Health Care Facility	Phenix city, AL	Nursing home
Traylor Retirement Community	Roanoke, AL	Nursing home
Oak Park	Auburn, AL	Nursing home

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
East Alabama Family Practice, P.c.	3173584976	2

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 Keith Lyle Fuller allows following entities to bill medicare on his behalf.

Entity Name	East Alabama Family Practice, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386719193 PECOS PAC ID: 3173584976 Enrollment ID: O20041025000925

Entity Name	Regencell Of East Alabama Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538945910 PECOS PAC ID: 1052831146 Enrollment ID: O20250219002609

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 Keith Lyle 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 Keith Lyle Fuller, DO 2214 Gateway Dr, Suite C, Opelika, AL 36801-1500 Ph: (334) 741-0075	Dr Keith Lyle Fuller, DO 2214 Gateway Dr, Suite C, Opelika, AL 36801-1500 Ph: (334) 741-0075

Reviews and Comments

Family Medicine Doctors in Opelika, AL

Martin G Roach, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 7667 Al Highway 51 Ste B, Opelika, AL 36804 Phone: 334-737-5557 Fax: 334-727-5646
Mrs. Priya Patel, RN, BSN, FNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2000 Pepperell Pkwy, 2nd Floor (pain Clinic), Opelika, AL 36801 Phone: 334-528-2400 Fax: 334-528-2495
Brandee Morgan Schnuelle, CRNP Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 101 24th St, Opelika, AL 36801 Phone: 334-610-2222
Dr. William Biggers Whatley Iii, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 122 N 20th St, Building 24, Opelika, AL 36801 Phone: 334-745-4646 Fax: 334-745-0633
Dr. Sunil Kumar Sharma, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 24th St, Opelika, AL 36801 Phone: 334-610-2222
Mr. Arin Michael Mccarty, FNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7667 Al Highway 51 Ste B, Opelika, AL 36804 Phone: 334-737-5557
Dr. John Reed Cooper, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 122 N 20th St Bldg 24, Opelika, AL 36801 Phone: 334-745-4646 Fax: 334-745-0633

Dr Keith Lyle Fuller, DO - Medicare Family Practice in Opelika, AL