| Dr Keith Lyle Fuller, DO | |
|
2214 Gateway Dr, Suite C, Opelika, AL 36801-1500 | |
| (334) 741-0075 | |
| (334) 741-4075 |
| Full Name | Dr Keith Lyle Fuller |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 34 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730125527 | NPI | - | NPPES |
| DO350 | Other | AL | MEDICAL LICENSE |
| 000026574 | Medicaid | AL | |
| 51026574 | Other | AL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DO350 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Homecare Of East Alabama Medical Center | Auburn, AL | Home health agency |
| Prohealth Home Health | Auburn , AL | Home health agency |
| Eamc - Lanier Home Health | Valley, AL | Home health agency |
| Enhabit Home Health | Troy, AL | Home health agency |
| Southeast Hospice Network | Jasper, AL | Hospice |
| Chattahoochee Hospice Inc | Valley, AL | Hospice |
| Gentiva Phenix City | Auburn, AL | Hospice |
| East Alabama Medical Center | Opelika, AL | Hospital |
| University Of Alabama Hospital | Birmingham, AL | Hospital |
| Tanner Medical Center-east Alabama | Wedowee, AL | Hospital |
| Jack Hughston Memorial Hospital | Phenix city, AL | Hospital |
| Eamc - Lanier | Valley, AL | Hospital |
| Arbor Springs Health And Rehab Center, Ltd | Opelika, AL | Nursing home |
| Traylor Retirement Community | Roanoke, AL | Nursing home |
| Parkwood Health Care Facility | Phenix city, AL | Nursing home |
| Arbor Lake Health And Rehab | Auburn, AL | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| East Alabama Family Practice, P.c. | 3173584976 | 5 |
| 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 |
| 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 |
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 |
Brandee Morgan Schnuelle, CRNP Family Medicine Medicare: Accepting 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 |
Mr. Daniel R Barlow, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 24th Street, Opelika, AL 36801 Phone: 334-610-2222 Fax: 334-610-1014 |