Dr Sam Eroni Fullman, MBBS - Medicare Preventive Medicine in Pago Pago, AS

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Dr Sam Eroni Fullman, MBBS is a medicare enrolled "Preventive Medicine - Public Health & General Preventive Medicine" physician in Pago Pago, American Samoa. His current practice location is Tafuna Health Center, Petesa Rd, Tafuna, Pago Pago, American Samoa. You can reach out to his office (for appointments etc.) via phone at (684) 699-6380.

Dr Sam Eroni Fullman is licensed to practice in American Samoa (license number 5063C) 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 1851171839.

Contact Information

Dr Sam Eroni Fullman, MBBS
Tafuna Health Center, Petesa Rd, Tafuna,
Pago Pago, AS 96799
(684) 699-6380
Not Available

Map and Direction




Physician's Profile

Full NameDr Sam Eroni Fullman
GenderMale
SpecialityPreventive Medicine - Public Health & General Preventive Medicine
LocationTafuna Health Center, Pago Pago, American Samoa
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1851171839
  • Provider Enumeration Date: 10/05/2023
  • Last Update Date: 10/05/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7911446067
  • Enrollment ID: I20241107003899

Medical Identifiers

Medical identifiers for Dr Sam Eroni Fullman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851171839NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2083P0901XPreventive Medicine - Public Health & General Preventive Medicine 5063C (American Samoa)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 Sam Eroni Fullman allows following entities to bill medicare on his behalf.
Entity NameAmerican Samoa Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043085681
PECOS PAC ID: 4385545870
Enrollment ID: O20240102002464

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 Sam Eroni Fullman 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 Sam Eroni Fullman, MBBS
Tafuna Health Center, Petesa Rd, Tafuna,
Pago Pago, AS 96799

Ph: (684) 699-6380		Dr Sam Eroni Fullman, MBBS
Tafuna Health Center, Petesa Rd, Tafuna,
Pago Pago, AS 96799

Ph: (684) 699-6380

Reviews and Comments


Preventive Medicine Doctors in Pago Pago, AS

Elizabeth H Lauvao, MBBS
Preventive Medicine
Medicare: Not Enrolled in Medicare
Practice Location: Petesa, Pago Pago, AS 96799
Phone: 684-688-7822    Fax: 684-699-6374
Dr. Saipale Fuimaono, MBBS
Preventive Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3965 Tafuna St, Tafuna Health Center, Pago Pago, AS 96799
Phone: 684-699-6380    
Dr. Peni Moi Biukoto, MBBS
Preventive Medicine
Medicare: Not Enrolled in Medicare
Practice Location: Procurement Road, Tafuna, Pago Pago, AS 96799
Phone: 684-699-6380    

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.