| Valerie W Fuller, DO | |
|
55 Merz Blvd., Ste A, Fairlawn, OH 44333 | |
| (330) 864-9000 | |
| (330) 864-9004 |
| Full Name | Valerie W Fuller |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 24 Years |
| Location | 55 Merz Blvd., Fairlawn, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275503724 | NPI | - | NPPES |
| 2801221 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 34-008780 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fairlawn Dermatology Llc | 4789616806 | 4 |
| Entity Name | Fairlawn Dermatology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356376917 PECOS PAC ID: 4789616806 Enrollment ID: O20060919000127 |
| Mailing Address | Practice Location Address |
|---|---|
| Valerie W Fuller, DO 55 Merz Blvd., Ste A, Fairlawn, OH 44333 Ph: (330) 864-9000 | Valerie W Fuller, DO 55 Merz Blvd., Ste A, Fairlawn, OH 44333 Ph: (330) 864-9000 |
Dr. Kimberly Tamargo, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3624 W Market St Ste 101, Fairlawn, OH 44333 Phone: 330-665-0555 | |
Ann R Kooken, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3624 W Market St Ste 101, Fairlawn, OH 44333 Phone: 330-665-0555 Fax: 330-665-0556 | |
Dr. Allison J Moosally, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3624 W Market St, Suite 101, Fairlawn, OH 44333 Phone: 330-665-0555 Fax: 330-665-0556 | |
Dr. Gary D Lichten, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 3624 W Market St, Fairlawn, OH 44333 Phone: 330-665-0555 Fax: 330-665-0556 | |
James F Libecco, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3624 W Market St, Fairlawn, OH 44333 Phone: 330-665-0555 Fax: 330-665-0556 | |
Abby L Vrable, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3624 W Market St Ste 101, Fairlawn, OH 44333 Phone: 330-665-0555 |