Dr Stanley Brian Fuller, MD is a
Colon & Rectal Surgery physician based in Winston Salem, North Carolina. Dr Stanley Brian Fuller is licensed to practice in North Carolina (license number 34605) and his current practice location is 2825 Lyndhurst Ave, Ste 101, Winston Salem, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(336) 277-4075.
NPI number for Dr Stanley Brian Fuller is 1437119302 and his current mailing address is Po Box 60447, Charlotte, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1437119302.
Physician's Profile
| Full Name | Dr Stanley Brian Fuller |
|---|
| Gender | Male |
|---|
| Speciality | Colon & Rectal Surgery |
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| Location | 2825 Lyndhurst Ave, Winston Salem, North Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1437119302
- Provider Enumeration Date: 03/24/2006
- Last Update Date: 07/03/2023
Medical Identifiers
Medical identifiers for Dr Stanley Brian Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1437119302 | NPI | - | NPPES |
| 1437119302 | Medicaid | VA | |
| 34605 | Other | NC | NC LLICENSE |
| 8934129 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208600000X | Surgery | 34605 (North Carolina) | Secondary |
| 208C00000X | Colon & Rectal Surgery | 34605 (North Carolina) | 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 Stanley Brian 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 Address | Practice Location Address |
Dr Stanley Brian Fuller, MD Po Box 60447, Charlotte, NC 28260-0447 Ph: (336) 277-4075 | Dr Stanley Brian Fuller, MD 2825 Lyndhurst Ave, Ste 101, Winston Salem, NC 27103-4146 Ph: (336) 277-4075 |
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