Dr Samuel Edward Fuller, MD in Greeley, CO - Medicare Diagnostic Radiology

Dr Samuel Edward Fuller, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Greeley, Colorado. He went to Saint Louis University School Of Medicine and graduated in 1999 and has 26 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Radiology Imaging Associates Pc, Hawaii Radiologic Associates Ltd, Orthopedic Centers Of Colorado Llc, Radiology Imaging Associates Pc, National Jewish Health, Medical Imaging Of Colorado Radiology Imaging Assc Pc Etal Pt, Banner Imaging Services Colorado Llc, Radiology Imaging Associates Pc and his current practice location is 1801 16th St, Greeley, Colorado. You can reach out to his office (for appointments etc.) via phone at (303) 761-9190.

Dr Samuel Edward Fuller is licensed to practice in Colorado (license number 43466) 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 1093730749.

Contact Information

	Dr Samuel Edward Fuller, MD
	1801 16th St, Greeley, CO 80631-5154
	(303) 761-9190
	(720) 874-4462

Map and Direction

Physician's Profile

Full Name	Dr Samuel Edward Fuller
Gender	Male
Speciality	Diagnostic Radiology
Experience	26 Years
Location	1801 16th St, Greeley, Colorado
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Samuel Edward Fuller attended and graduated from Saint Louis University School Of Medicine in 1999

NPI Data:

NPI Number: 1093730749
Provider Enumeration Date: 07/13/2006
Last Update Date: 12/09/2022

Medicare PECOS Information:

PECOS PAC ID: 3870576465
Enrollment ID: I20050519001019

Medical Identifiers

Medical identifiers for Dr Samuel Edward Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093730749	NPI	-	NPPES
KA3249113	Other	KS	MEDICARE
111257122	Other	KS	MEDICARE
650671	Other	CO	MEDICARE
88153746	Medicaid	CO
NA1214128	Other	NE	MEDICARE PTAN
638284YQ33	Other	CO	MEDICARE
638284YQN9	Other	CO	MEDICARE
638284YQPG	Other	CO	MEDICARE
NA1215129	Other	NE	MEDICARE PTAN
638284AE6Y	Other	CO	MEDICARE
NA2517106	Other	NE	MEDICARE PTAN
638284ZLJ3	Other	CO	MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	A72891 (California)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	7318A (Wyoming)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	23277 (Nebraska)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	04-41647 (Kansas)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	MD19873 (Hawaii)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	43466 (Colorado)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
North Colorado Medical Center	Greeley, CO	Hospital
Sterling Regional Medcenter	Sterling, CO	Hospital
Banner Fort Collins Medical Center	Fort collins, CO	Hospital
Mckee Medical Center	Loveland, CO	Hospital
Castle Rock Adventist Hospital	Castle rock, CO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Radiology Imaging Associates Pc	2860391257	143
Hawaii Radiologic Associates Ltd	0941190953	80
Orthopedic Centers Of Colorado Llc	2365714540	299
Radiology Imaging Associates Pc	2860391257	143
National Jewish Health	4587577028	227
Medical Imaging Of Colorado Radiology Imaging Assc Pc Etal Pt	5395644702	109
Banner Imaging Services Colorado Llc	7416377270	85
Radiology Imaging Associates Pc	2860391257	143

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 Samuel Edward Fuller allows following entities to bill medicare on his behalf.

Entity Name	Radiology Imaging Of Nebraska Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184869901 PECOS PAC ID: 5597828269 Enrollment ID: O20090107000484

Entity Name	Radiology Imaging Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679513196 PECOS PAC ID: 2860391257 Enrollment ID: O20140522000894

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 Samuel Edward Fuller 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 Samuel Edward Fuller, MD 10800 E Geddes Ave Ste 300, Englewood, CO 80112-3895 Ph: (303) 761-9190	Dr Samuel Edward Fuller, MD 1801 16th St, Greeley, CO 80631-5154 Ph: (303) 761-9190

Reviews and Comments

Radiology Doctors in Greeley, CO

Laurie Gaspar, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1800 15th St Ste A, Greeley, CO 80631 Phone: 970-810-3894
Dr. Gareth K Roberts, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 5890 W 13th St, Suite 104, Greeley, CO 80634 Phone: 970-392-5400
Dr. Aron James Splichal, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1801 16th St, Greeley, CO 80631 Phone: 303-761-9190 Fax: 720-874-4462
Dustin Lee Boothe, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1800 15th St Ste A, Greeley, CO 80631 Phone: 970-820-5941
Dr. Richard Lynn Coursey Jr., M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1801 16th St, Greeley, CO 80631 Phone: 303-761-9190 Fax: 720-874-4462

Dr Samuel Edward Fuller, MD - Medicare Diagnostic Radiology in Greeley, CO