Tyler G Fuller, MD is a medicare enrolled "Family Medicine" physician in Peekskill, New York. He graduated from medical school in 2022 and has 4 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Sun River Health Inc. and his current practice location is
1037 Main St, Peekskill, New York. You can reach out to his office (for appointments etc.) via phone at
(914) 734-8800.
Tyler G Fuller is licensed to practice in New York (license number 338045) 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 1992455885.
Physician's Profile
| Full Name | Tyler G Fuller |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 4 Years |
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| Location | 1037 Main St, Peekskill, New York |
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| 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:
- Tyler G Fuller graduated from medical school in 2022
NPI Data:
- NPI Number: 1992455885
- Provider Enumeration Date: 03/24/2022
- Last Update Date: 06/24/2025
Medicare PECOS Information:
- PECOS PAC ID: 7214319482
- Enrollment ID: I20251212000467
Medical Identifiers
Medical identifiers for Tyler G Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1992455885 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 338045 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Sun River Health Inc. | 6608783568 | 246 |
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. Tyler G Fuller allows following entities to bill medicare on his behalf.
| Entity Name | Sun River Health Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568526838 PECOS PAC ID: 6608783568 Enrollment ID: O20040714000375 |
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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. Tyler G 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 |
Tyler G Fuller, MD 1037 Main St, Peekskill, NY 10566-2913 Ph: (914) 734-8800 | Tyler G Fuller, MD 1037 Main St, Peekskill, NY 10566-2913 Ph: (914) 734-8800 |
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