Dr Maynard Darvy Fuller, MD - Internal Medicine in Las Cruces, NM

Dr Maynard Darvy Fuller, MD is a Internal Medicine - Medical Oncology physician based in Las Cruces, New Mexico. Dr Maynard Darvy Fuller is licensed to practice in New Mexico (license number 97239) and his current practice location is 150 S Roadrunner Pkwy, Las Cruces, New Mexico. He can be reached at his office (for appointments etc.) via phone at (505) 556-8600.

NPI number for Dr Maynard Darvy Fuller is 1679515589 and his current mailing address is Po Box 911230, Dallas, Texas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1679515589.

Contact Information

Dr Maynard Darvy Fuller, MD
150 S Roadrunner Pkwy,
Las Cruces, NM 88011-7044
(505) 556-8600
(505) 556-8700

Map and Direction




Physician's Profile

Full NameDr Maynard Darvy Fuller
GenderMale
SpecialityInternal Medicine - Medical Oncology
Location150 S Roadrunner Pkwy, Las Cruces, New Mexico
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1679515589
  • Provider Enumeration Date: 06/12/2006
  • Last Update Date: 05/02/2008

Medical Identifiers

Medical identifiers for Dr Maynard Darvy Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679515589NPI-NPPES
000S2815MedicaidNM
126330307MedicaidTX
48753001OtherCSHCN
8R1442OtherTXBLUE CROSS OF TEXAS
126330301MedicaidTX
140998901MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RX0202XInternal Medicine - Medical Oncology 97239 (New Mexico)Primary
207RX0202XInternal Medicine - Medical Oncology G4000 (Texas)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 Maynard Darvy Fuller 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 AddressPractice Location Address
Dr Maynard Darvy Fuller, MD
Po Box 911230,
Dallas, TX 75391-1230

Ph: (972) 997-8000
Dr Maynard Darvy Fuller, MD
150 S Roadrunner Pkwy,
Las Cruces, NM 88011-7044

Ph: (505) 556-8600

Reviews and Comments


Internal Medicine Doctors in Las Cruces, NM

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Paul Feil, MD
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Zachary Powell Lang, DO
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Medicare: Not Enrolled in Medicare
Practice Location: 4311 E Lohman Ave, Las Cruces, NM 88011
Phone: 575-556-7600    

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