Timothy Fuller, MD in Tifton, GA - Medicare Vascular Surgery

Timothy Fuller, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Tifton, Georgia. He went to Mercer University School Of Medicine and graduated in 2013 and has 12 years of diverse experience with area of expertise as Vascular Surgery. He is a member of the group practice Tift Regional Health System Inc, Banner Health Physicians Colorado Llc and his current practice location is 1641 Madison Ave, Tifton, Georgia. You can reach out to his office (for appointments etc.) via phone at (229) 353-2284.

Timothy Fuller is licensed to practice in Georgia (license number 085351) 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 1104153063.

Contact Information

	Timothy Fuller, MD
	1641 Madison Ave, Tifton, GA 31794-3757
	(229) 353-2284
	Not Available

Map and Direction

Physician's Profile

Full Name	Timothy Fuller
Gender	Male
Speciality	Vascular Surgery
Experience	12 Years
Location	1641 Madison Ave, Tifton, Georgia
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:

Timothy Fuller attended and graduated from Mercer University School Of Medicine in 2013

NPI Data:

NPI Number: 1104153063
Provider Enumeration Date: 11/12/2009
Last Update Date: 01/30/2024

Medicare PECOS Information:

PECOS PAC ID: 5092137224
Enrollment ID: I20200617000951

Medical Identifiers

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

Identifier	Type	State	Issuer
1104153063	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	MED-PHYS-LIC-103773 (Montana)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
208600000X	Surgery	085351 (Georgia)	Secondary
2086S0129X	Surgery - Vascular Surgery	085351 (Georgia)	Primary
2086S0129X	Surgery - Vascular Surgery	MED-PHYS-LIC-103773 (Montana)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
North Colorado Medical Center	Greeley, CO	Hospital
Tift Regional Medical Center	Tifton, GA	Hospital
Sterling Regional Medcenter	Sterling, CO	Hospital
Banner Fort Collins Medical Center	Fort collins, CO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Tift Regional Health System Inc	2062745169	262
Banner Health Physicians Colorado Llc	8921273038	267

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. Timothy Fuller allows following entities to bill medicare on his behalf.

Entity Name	Tift Regional Health System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881203305 PECOS PAC ID: 2062745169 Enrollment ID: O20200217002409

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. 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
Timothy Fuller, MD 907 18th St E Ste 400, Tifton, GA 31794-3684 Ph: (229) 353-3422	Timothy Fuller, MD 1641 Madison Ave, Tifton, GA 31794-3757 Ph: (229) 353-2284

Reviews and Comments

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Dr. Tracy Lynn Chason, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1007 Greenfield Drive, Tifton, GA 31794 Phone: 229-392-9733
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William H Davis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1007 Greenfield Dr, Tifton, GA 31794 Phone: 229-382-9733 Fax: 229-387-6161
Joel M Johnson, MD Surgery Medicare: Medicare Enrolled Practice Location: 1007 Greenfield Drive, Tifton, GA 31794 Phone: 229-382-9733 Fax: 229-387-6161
Dr. William Leslie Hornback Iv, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1007 Greenfield Dr, Tifton, GA 31794 Phone: 229-382-9733
Dr. Paul Thomas Cartwright, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1007 Greenfield Dr, Tifton, GA 31794 Phone: 229-382-9733

Timothy Fuller, MD - Medicare Vascular Surgery in Tifton, GA