Lisa L Fuller, MD in Mesa, AZ - Medicare Preventive Medicine

Lisa L Fuller, MD is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in Mesa, Arizona. Her current practice location is 4315 E Main St, Mesa, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 870-7500.

Lisa L Fuller is licensed to practice in Arizona (license number 33576) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1366567398.

Contact Information

	Lisa L Fuller, MD
	4315 E Main St, Mesa, AZ 85205-8605
	(480) 870-7500
	(480) 906-2173

Map and Direction

Physician's Profile

Full Name	Lisa L Fuller
Gender	Female
Speciality	Preventive Medicine - Occupational Medicine
Location	4315 E Main St, Mesa, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366567398
Provider Enumeration Date: 03/20/2007
Last Update Date: 08/08/2024

Medicare PECOS Information:

PECOS PAC ID: 8729052055
Enrollment ID: I20090921000559

Medical Identifiers

Medical identifiers for Lisa L Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366567398	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2083X0100X	Preventive Medicine - Occupational Medicine	33576 (Arizona)	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. Lisa L Fuller allows following entities to bill medicare on her behalf.

Entity Name	Archwell Health Professional Services Of Arizona, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558026880 PECOS PAC ID: 9830566199 Enrollment ID: O20221031001469

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. Lisa L 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
Lisa L Fuller, MD 102 Woodmont Blvd Ste 600, Nashville, TN 37205-5250 Ph: () -	Lisa L Fuller, MD 4315 E Main St, Mesa, AZ 85205-8605 Ph: (480) 870-7500

Reviews and Comments

Preventive Medicine Doctors in Mesa, AZ

Bernardo V Fabrega, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 1720 W Southern Ave Ste B1-b6, Mesa, AZ 85202 Phone: 615-778-4066
Cory C Davis, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 1959 S Val Vista Dr, Suite 106, Mesa, AZ 85204 Phone: 615-778-4066
Kami Hirons, N.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 4140 E Baseline Rd, #110, Mesa, AZ 85206 Phone: 480-539-0777 Fax: 480-539-6054
Sunday Nkemdiche, PA Preventive Medicine Medicare: Medicare Enrolled Practice Location: 1551 W Crescent Ave, Mesa, AZ 85202 Phone: 954-664-8169
Timothy T Woehl, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 1959 S Val Vista Dr, Suite 106, Mesa, AZ 85204 Phone: 615-778-4066
Dr. James Nicholas Yarusso, MD Preventive Medicine Medicare: Medicare Enrolled Practice Location: 4824 E Baseline Rd, Suite 140, Mesa, AZ 85206 Phone: 480-969-4040 Fax: 480-830-1042

Lisa L Fuller, MD - Medicare Preventive Medicine in Mesa, AZ