Jordan Fuller, DO - Medicare Internal Medicine in Treasure Island, FL

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Jordan Fuller, DO is a medicare enrolled "Internal Medicine" physician in Treasure Island, Florida. He went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2016 and has 10 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Hospital Medicine Services Of Fl, Llc, Bayside Medical Group Llc and his current practice location is 61 Dolphin Dr, Treasure Island, Florida. You can reach out to his office (for appointments etc.) via phone at (727) 853-1701.

Jordan Fuller is licensed to practice in Florida (license number OS15231) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1679922678.

Contact Information

Jordan Fuller, DO
61 Dolphin Dr,
Treasure Island, FL 33706-3113
(727) 853-1701
Not Available

Map and Direction




Physician's Profile

Full NameJordan Fuller
GenderMale
SpecialityInternal Medicine
Experience10 Years
Location61 Dolphin Dr, Treasure Island, Florida
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jordan Fuller attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2016
  NPI Data:
  • NPI Number: 1679922678
  • Provider Enumeration Date: 06/09/2016
  • Last Update Date: 04/24/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9032402375
  • Enrollment ID: I20190717000845

Medical Identifiers

Medical identifiers for Jordan Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679922678NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine OS15231 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Anthonys HospitalSaint petersburg, FLHospital
Lake City Medical CenterLake city, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hospital Medicine Services Of Fl, Llc9234596743471
Bayside Medical Group Llc99313259909

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. Jordan Fuller allows following entities to bill medicare on his behalf.
Entity NameBayside Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215353818
PECOS PAC ID: 9931325990
Enrollment ID: O20140728001785
Entity NameHospital Medicine Services Of Fl, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710684857
PECOS PAC ID: 9234596743
Enrollment ID: O20230526001457

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. Jordan 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 AddressPractice Location Address
Jordan Fuller, DO
61 Dolphin Dr,
Treasure Island, FL 33706-3113

Ph: () -		Jordan Fuller, DO
61 Dolphin Dr,
Treasure Island, FL 33706-3113

Ph: (727) 853-1701

Reviews and Comments


Internal Medicine Doctors in Treasure Island, FL

Dr. David Scott Borislow, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 11719 1st St E, Treasure Island, FL 33706
Phone: 727-492-2930    
Dr. Peter Michael Pardoll, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 34 Paradise Ln, Treasure Island, FL 33706
Phone: 727-422-5464    Fax: 727-360-5352
Roddy Janiel Bernard, MD
Internal Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 61 Dolphin Dr, Treasure Island, FL 33706
Phone: 727-853-1701    Fax: 727-825-1354
Chris Carson, M.D.
Internal Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 61 Dolphin Dr, Treasure Island, FL 33706
Phone: 727-954-0671    Fax: 727-825-1354

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.