Dr Sam Fuller, MD in South Bend, IN - Medicare Hand Surgery

Dr Sam Fuller, MD is a medicare enrolled "Surgery - Plastic And Reconstructive Surgery" physician in South Bend, Indiana. He went to University Of Chicago, Pritzker School Of Medicine and graduated in 2009 and has 16 years of diverse experience with area of expertise as Hand Surgery. He is a member of the group practice Central Indiana Orthopedics Llc and his current practice location is 53880 Carmichael Dr, South Bend, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 247-9441.

Dr Sam Fuller is licensed to practice in Indiana (license number 01075560A) 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 1649569484.

Contact Information

	Dr Sam Fuller, MD
	53880 Carmichael Dr, South Bend, IN 46635-1567
	(574) 247-9441
	(574) 247-9442

Map and Direction

Physician's Profile

Full Name	Dr Sam Fuller
Gender	Male
Speciality	Hand Surgery
Experience	16 Years
Location	53880 Carmichael Dr, South Bend, Indiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Sam Fuller attended and graduated from University Of Chicago, Pritzker School Of Medicine in 2009

NPI Data:

NPI Number: 1649569484
Provider Enumeration Date: 04/01/2011
Last Update Date: 09/03/2024

Medicare PECOS Information:

PECOS PAC ID: 4880989847
Enrollment ID: I20160830001218

Medical Identifiers

Medical identifiers for Dr Sam Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649569484	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0105X	Surgery - Surgery Of The Hand	01075560A (Indiana)	Secondary
2086S0122X	Surgery - Plastic And Reconstructive Surgery	01075560A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Saint Joseph Regional Medical Center - Plymouth	Plymouth, IN	Hospital
Saint Joseph Regional Medical Center	Mishawaka, IN	Hospital
Lakeland Hospital, St Joseph	St joseph, MI	Hospital
Franciscan St Anthony Health - Michigan City	Michigan city, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Central Indiana Orthopedics Llc	5698667822	137

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. Dr Sam Fuller allows following entities to bill medicare on his behalf.

Entity Name	Central Indiana Orthopedics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063422137 PECOS PAC ID: 5698667822 Enrollment ID: O20040325000156

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. Dr Sam 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
Dr Sam Fuller, MD 3600 W Bethel Ave, Muncie, IN 47304-5407 Ph: () -	Dr Sam Fuller, MD 53880 Carmichael Dr, South Bend, IN 46635-1567 Ph: (574) 247-9441

Reviews and Comments

Surgery Doctors in South Bend, IN

Marie E Unruh, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Navarre Pl Ste 5500, South Bend, IN 46601 Phone: 574-647-5200 Fax: 574-647-5210
Dr. Robert G. Credi, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 621 Memorial Dr Ste 502, South Bend, IN 46601 Phone: 574-647-5875 Fax: 574-647-5878
Scott G Thomas, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 621 Memorial Dr, Suite 502, South Bend, IN 46601 Phone: 574-647-5875 Fax: 574-647-5878
Michael C Rotkis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 621 Memorial Dr, South Bend, IN 46601 Phone: 574-236-1888 Fax: 574-236-1887
William Anderson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 621 Memorial Dr, Ste 502, South Bend, IN 46601 Phone: 574-647-5875 Fax: 515-643-5802
George B Friend, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 621 Memorial Dr, South Bend, IN 46601 Phone: 574-236-1888 Fax: 574-236-1888
Daniel P. Srikureja, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 621 Memorial Dr Ste 502, South Bend, IN 46601 Phone: 574-647-5875 Fax: 574-647-5878

Dr Sam Fuller, MD - Medicare Hand Surgery in South Bend, IN