Justin Timothy Fuller, MD in Martinsville, IN

Justin Timothy Fuller, MD is a medicare enrolled "Pediatrics" physician in Martinsville, Indiana. His current practice location is 2209 John R Wooden Dr, Martinsville, Indiana. You can reach out to his office (for appointments etc.) via phone at (317) 944-2819.

Justin Timothy Fuller is licensed to practice in Indiana (license number 01072688A) 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 1588955215.

Contact Information

	Justin Timothy Fuller, MD
	2209 John R Wooden Dr, Martinsville, IN 46151-1840
	(317) 944-2819
	Not Available

Map and Direction

Physician's Profile

Full Name	Justin Timothy Fuller
Gender	Male
Speciality	Pediatrics
Location	2209 John R Wooden Dr, Martinsville, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588955215
Provider Enumeration Date: 04/28/2011
Last Update Date: 04/10/2025

Medicare PECOS Information:

PECOS PAC ID: 6709022536
Enrollment ID: I20150430000471

Medical Identifiers

Medical identifiers for Justin Timothy Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588955215	NPI	-	NPPES
201098490	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	01072688A (Indiana)	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. Justin Timothy Fuller allows following entities to bill medicare on his behalf.

Entity Name	Indiana University Health Southern Indiana Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013953983 PECOS PAC ID: 6204748197 Enrollment ID: O20040423000556

Entity Name	Iu Health Morgan Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730424490 PECOS PAC ID: 2466699830 Enrollment ID: O20130503000164

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. Justin Timothy 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
Justin Timothy Fuller, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () -	Justin Timothy Fuller, MD 2209 John R Wooden Dr, Martinsville, IN 46151-1840 Ph: (317) 944-2819

Reviews and Comments

Pediatrics Doctors in Martinsville, IN

Jian Li, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1949 Hospital Dr, Martinsville, IN 46151 Phone: 765-342-0539 Fax: 765-342-3413
Amy E Simpson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1949 Hospital Dr, Martinsville, IN 46151 Phone: 765-342-0539 Fax: 765-342-3413

Justin Timothy Fuller, MD - Medicare Pediatrics in Martinsville, IN