Dr Patrick J Fullerton, DO is a medicare enrolled "Pain Medicine - Pain Medicine" physician in Mount Dora, Florida. His current practice location is
6909 Old Highway 441 S Ste 222, Mount Dora, Florida. You can reach out to his office (for appointments etc.) via phone at
(352) 441-9803.
Dr Patrick J Fullerton is licensed to practice in Florida (license number OS8087) 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 1811039555.
Physician's Profile
| Full Name | Dr Patrick J Fullerton |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 6909 Old Highway 441 S Ste 222, Mount Dora, Florida |
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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 Patrick J Fullerton attended and graduated from in
NPI Data:
- NPI Number: 1811039555
- Provider Enumeration Date: 02/12/2007
- Last Update Date: 08/12/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Patrick J Fullerton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811039555 | NPI | - | NPPES |
| 015379100 | Medicaid | FL | |
| OS8087 | Other | FL | MEDICAL LICENSE NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | OS8087 (Florida) | Secondary |
| 207Q00000X | Family Medicine | OS8087 (Florida) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | OS8087 (Florida) | Primary |
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 Patrick J Fullerton 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 Patrick J Fullerton, DO
6909 Old Highway 441 S Ste 222,
Mount Dora, FL 32757-7039
Ph: (352) 441-9803 | Dr Patrick J Fullerton, DO
6909 Old Highway 441 S Ste 222,
Mount Dora, FL 32757-7039
Ph: (352) 441-9803 |
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