Larry Chad Fuller, STUDENT - Medicare Diagnostic Radiology in Gainesville, FL

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Larry Chad Fuller, STUDENT is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Gainesville, Florida. He graduated from medical school in 2016 and has 10 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice St Francis Physician Practices Llc, Medical Imaging Center Of Ocala Llp, St Thomas Radiology Associates Llc, Radiology Imaging Associates Llc, Dlp Twin County Physician Practices Llc, Northeast Georgia Physicians Group Inc, Danville Physician Practices Llc, Inverness Medical Imaging Llc, Ocala Health Imaging Services Llc, Sentara Medical Group, Northeast Georgia Physicians Group Inc, East Cooper Physician Group Llc, St Thomas Radiology Associates Llc, Medical Imaging Center Of Ocala Llp, Radiology Imaging Associates Llc, Inverness Medical Imaging Llc, Timberridge Imaging Center, Timberridge Imaging Center and his current practice location is 1600 Sw Archer Rd, Gainesville, Florida. You can reach out to his office (for appointments etc.) via phone at (352) 265-0291.

Larry Chad Fuller is licensed to practice in Florida (license number OS17722) 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 1912360421.

Contact Information

Larry Chad Fuller, STUDENT
1600 Sw Archer Rd,
Gainesville, FL 32610-2360
(352) 265-0291
Not Available

Map and Direction




Physician's Profile

Full NameLarry Chad Fuller
GenderMale
SpecialityDiagnostic Radiology
Experience10 Years
Location1600 Sw Archer Rd, Gainesville, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Larry Chad Fuller graduated from medical school in 2016
  NPI Data:
  • NPI Number: 1912360421
  • Provider Enumeration Date: 04/01/2016
  • Last Update Date: 10/01/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4284990698
  • Enrollment ID: I20210610000694

Medical Identifiers

Medical identifiers for Larry Chad Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912360421NPI-NPPES
110846200MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 0102209072 (Virginia)Secondary
2085R0202XRadiology - Diagnostic Radiology 1322733 (Georgia)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
2085R0202XRadiology - Diagnostic Radiology OS17722 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hca Florida Ocala HospitalOcala, FLHospital
Northeast Georgia Medical Center, IncGainesville, GAHospital
Tampa General Hospital Crystal RiverCrystal river, FLHospital
Adventhealth OcalaOcala, FLHospital
Sentara Northern Virginia Medical CenterWoodbridge, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Francis Physician Practices Llc8729381033217
Medical Imaging Center Of Ocala Llp034513078748
St Thomas Radiology Associates Llc004223513774
Radiology Imaging Associates Llc2466342803182
Dlp Twin County Physician Practices Llc7214199512119
Northeast Georgia Physicians Group Inc6901898386884
Danville Physician Practices Llc4688606304171
Inverness Medical Imaging Llc387059067283
Ocala Health Imaging Services Llc822421717948
Sentara Medical Group89219039231396
Northeast Georgia Physicians Group Inc6901898386884
East Cooper Physician Group Llc1254775687126
St Thomas Radiology Associates Llc004223513774
Medical Imaging Center Of Ocala Llp034513078748
Radiology Imaging Associates Llc2466342803182
Inverness Medical Imaging Llc387059067283
Timberridge Imaging Center943604986349
Timberridge Imaging Center943604986349

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. Larry Chad Fuller allows following entities to bill medicare on his behalf.
Entity NameFlorida Clinical Practice Association Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063463768
PECOS PAC ID: 0345146254
Enrollment ID: O20031211000099
Entity NameTimberridge Imaging Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669460473
PECOS PAC ID: 9436049863
Enrollment ID: O20040318000633
Entity NameMedical Imaging Center of Ocala LLP
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669469045
PECOS PAC ID: 0345130787
Enrollment ID: O20040318000671
Entity NameRadiology Imaging Associates LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063400729
PECOS PAC ID: 2466342803
Enrollment ID: O20040318000719
Entity NameInverness Medical Imaging LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093763591
PECOS PAC ID: 3870590672
Enrollment ID: O20061108000195
Entity NameOcala Health Imaging Services LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023318060
PECOS PAC ID: 8224217179
Enrollment ID: O20110124001037
Entity NameSt Thomas Radiology Associates LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659385011
PECOS PAC ID: 0042235137
Enrollment ID: O20201204000710
Entity NameDlp Twin County Physician Practices LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033485925
PECOS PAC ID: 7214199512
Enrollment ID: O20250214000185
Entity NameDanville Physician Practices LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265243612
PECOS PAC ID: 4688606304
Enrollment ID: O20250214001974
Entity NameSentara Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265485270
PECOS PAC ID: 8921903923
Enrollment ID: O20250410000058
Entity NameSt Francis Physician Practices LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609655646
PECOS PAC ID: 8729381033
Enrollment ID: O20250625002963
Entity NameNortheast Georgia Physicians Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891745212
PECOS PAC ID: 6901898386
Enrollment ID: O20250930004021

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. Larry Chad 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
Larry Chad Fuller, STUDENT
Po Box 100374,
Gainesville, FL 32610-0374

Ph: (352) 265-0291		Larry Chad Fuller, STUDENT
1600 Sw Archer Rd,
Gainesville, FL 32610-2360

Ph: (352) 265-0291

Reviews and Comments


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Dr. Will F Williams, MD
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Patricia Perdigon Moser, MD
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Erica May, RT(R)(CT)
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Dr. Alexandre Dias Mancano, MD, PHD
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Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610
Phone: 352-265-0104    
Giovanni Brondani Torri, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610
Phone: 352-265-0291    

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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.

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