Lanisha Denise Fuller, MD in Portland, OR

Lanisha Denise Fuller, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Portland, Oregon. She graduated from medical school in 2016 and has 10 years of diverse experience with area of expertise as Pathology. She is a member of the group practice The Oregon Clinic, Pc and her current practice location is 9701 Sw Barnes Rd Ste Ll60, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 297-8081.

Lanisha Denise Fuller is licensed to practice in Oregon (license number MD222959) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1447747324.

Contact Information

	Lanisha Denise Fuller, MD
	9701 Sw Barnes Rd Ste Ll60, Portland, OR 97225-6772
	(503) 297-8081
	(503) 292-6601

Map and Direction

Physician's Profile

Full Name	Lanisha Denise Fuller
Gender	Female
Speciality	Pathology
Experience	10 Years
Location	9701 Sw Barnes Rd Ste Ll60, Portland, Oregon
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lanisha Denise Fuller graduated from medical school in 2016

NPI Data:

NPI Number: 1447747324
Provider Enumeration Date: 04/17/2018
Last Update Date: 11/18/2025

Medicare PECOS Information:

PECOS PAC ID: 2769845726
Enrollment ID: I20241205001835

Medical Identifiers

Medical identifiers for Lanisha Denise Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447747324	NPI	-	NPPES
500848711	Medicaid	OR
2309172	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	MD222959 (Oregon)	Primary
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	ME159488 (Florida)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Providence Portland Medical Center	Portland, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Oregon Clinic, Pc	2860390408	324

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. Lanisha Denise Fuller allows following entities to bill medicare on her behalf.

Entity Name	The Oregon Clinic, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265417174 PECOS PAC ID: 2860390408 Enrollment ID: O20031222000096

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. Lanisha Denise 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
Lanisha Denise Fuller, MD 541 Ne 20th Ave Ste 225, Portland, OR 97232-2895 Ph: (503) 963-2801	Lanisha Denise Fuller, MD 9701 Sw Barnes Rd Ste Ll60, Portland, OR 97225-6772 Ph: (503) 297-8081

Reviews and Comments

Pathology Doctors in Portland, OR

Dr. Kevin P Sargeant, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8276 Fax: 503-494-2025
Mary Jo Drew, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 3131 N. Vancouver Ave., American Red Cross Pnw Regional Blood Services, Portland, OR 97227 Phone: 503-528-5920
Dr. Judith Ann Ray, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1015 Nw 22nd Ave, Portland, OR 97210 Phone: 503-413-8259 Fax: 503-413-6267
Matthew Carstens Frank, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 303-859-4275
Sarah Walter, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1015 Nw 22nd Ave, Dept Of Pathology, Portland, OR 97210 Phone: 503-237-0507
Matthew Evans, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1015 Nw 22nd Ave, Portland, OR 97210 Phone: 800-649-8730
Dr. Mathew Scott Greenberg, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 4400 Ne Halsey St, Bldg #3 Pathology And Laboratory, Portland, OR 97213 Phone: 503-893-7757 Fax: 503-893-7795

Lanisha Denise Fuller, MD - Medicare Pathology in Portland, OR