Dr Patrick J Fullerton, DO - Medicare Pain Medicine in Mount Dora, FL

  1. Home
  2. Pain Medicine
  3. FL
  4. Mount Dora
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 does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1811039555.

Contact Information

Dr Patrick J Fullerton, DO
6909 Old Highway 441 S Ste 222,
Mount Dora, FL 32757-7039
(352) 441-9803
Not Available

Map and Direction




Physician's Profile

Full NameDr Patrick J Fullerton
GenderMale
SpecialityPain Medicine - Pain Medicine
Location6909 Old Highway 441 S Ste 222, Mount Dora, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1811039555
  • Provider Enumeration Date: 02/12/2007
  • Last Update Date: 08/12/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2668371857
  • Enrollment ID: I20041231000020

Medical Identifiers

Medical identifiers for Dr Patrick J Fullerton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811039555NPI-NPPES
015379100MedicaidFL
OS8087OtherFLMEDICAL LICENSE NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine OS8087 (Florida)Secondary
207Q00000XFamily Medicine OS8087 (Florida)Secondary
208VP0000XPain Medicine - Pain Medicine OS8087 (Florida)Primary

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 Patrick J Fullerton allows following entities to bill medicare on his behalf.
Entity NameCentral Florida Hospitalist Partners Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558381921
PECOS PAC ID: 5799689931
Enrollment ID: O20031120000518
Entity NamePhysician Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336137280
PECOS PAC ID: 0244135093
Enrollment ID: O20031204000591
Entity NameRmed Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508815358
PECOS PAC ID: 6608768411
Enrollment ID: O20040326000760
Entity NameFlorida Heart & Vascular Multi Specialty Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699769042
PECOS PAC ID: 6507839735
Enrollment ID: O20040817000130
Entity NameParagon Contracting Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225071459
PECOS PAC ID: 3971417825
Enrollment ID: O20041207001148
Entity NamePolk Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558338574
PECOS PAC ID: 0547241598
Enrollment ID: O20050506000658
Entity NameTampa Bay Emergency Physicians, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114977428
PECOS PAC ID: 0345260345
Enrollment ID: O20051206000518
Entity NameMuqeet Siddiqui, Md, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558616482
PECOS PAC ID: 4587818216
Enrollment ID: O20130206000060
Entity NameVmd Primary Providers Central Florida Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134738974
PECOS PAC ID: 2860806197
Enrollment ID: O20210128001072
Entity NameEmergency Medicine Services Of Fl Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043917180
PECOS PAC ID: 8426413931
Enrollment ID: O20230504001881

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 AddressPractice 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

Reviews and Comments


Pain Medicine Doctors in Mount Dora, FL

Dr. Maxime Debrosse, MD
Pain Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6909 Old Highway 441 S Ste 220, Mount Dora, FL 32757
Phone: 689-208-4848    Fax: 689-219-3746

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.