Andrew Dixon Fuller, CRNA in Texarkana, TX - Medicare Certified Registered Nurse Anesthetist (crna)

Andrew Dixon Fuller, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Texarkana, Texas. He graduated from nursing school in 2010 and has 16 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Texarkana Gastroenterology Consultants, Pa, Emergenchealth Pllc, Christus Health Ark-la-tex and his current practice location is 4100 Summerhill Rd, Texarkana, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 735-9802.

Andrew Dixon Fuller is licensed to practice in Arkansas (license number R72921) 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 1518286541.

Contact Information

	Andrew Dixon Fuller, CRNA
	4100 Summerhill Rd, Texarkana, TX 75503-2732
	(903) 735-9802
	(903) 735-9806

Map and Direction

Provider's Profile

Full Name	Andrew Dixon Fuller
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	16 Years
Location	4100 Summerhill Rd, Texarkana, Texas
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:

Andrew Dixon Fuller graduated from nursing school in 2010

NPI Data:

NPI Number: 1518286541
Provider Enumeration Date: 06/01/2010
Last Update Date: 09/28/2023

Medicare PECOS Information:

PECOS PAC ID: 2365575313
Enrollment ID: I20100728000729

Medical Identifiers

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

Identifier	Type	State	Issuer
1518286541	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	AP119199 (Texas)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	R72921 (Arkansas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Christus St Michael Health System	Texarkana, TX	Hospital
Christus Mother Frances Hospital	Tyler, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Texarkana Gastroenterology Consultants, Pa	0345212817	17
Emergenchealth Pllc	1355606641	666
Christus Health Ark-la-tex	2264325588	35

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. Andrew Dixon Fuller allows following entities to bill medicare on his behalf.

Entity Name	Christus Trinity Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091

Entity Name	Texarkana Gastroenterology Consultants, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477519056 PECOS PAC ID: 0345212817 Enrollment ID: O20040806000580

Entity Name	Northstar Anesthesia Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912978610 PECOS PAC ID: 7315907128 Enrollment ID: O20041015000685

Entity Name	Christus Health Ark-la-tex
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184623266 PECOS PAC ID: 2264325588 Enrollment ID: O20050324001186

Entity Name	Emergenchealth Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20180608000439

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. Andrew Dixon 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
Andrew Dixon Fuller, CRNA Po Box 6228, Texarkana, TX 75505-6228 Ph: (903) 735-9802	Andrew Dixon Fuller, CRNA 4100 Summerhill Rd, Texarkana, TX 75503-2732 Ph: (903) 735-9802

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Texarkana, TX

Mr. Brandon Wiley, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4100 Summerhill Rd, Texarkana, TX 75503 Phone: 903-735-9802 Fax: 903-735-9806
Richard Loeffler, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 Pine St, Texarkana, TX 75501 Phone: 903-427-3851
Caleb Allen Bennett, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2600 Saint Michael Dr, Texarkana, TX 75503 Phone: 469-955-9423
Brent Willis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 203 La Grange Dr., Texarkana, TX 75501 Phone: 936-645-5428
Charles David Lummus, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4100 Summerhill Rd, Texarkana, TX 75503 Phone: 903-735-9802 Fax: 903-735-9806
John Matt Hester, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4100 Summerhill Rd, Texarkana, TX 75503 Phone: 903-735-9802 Fax: 903-735-9806
Paul Mitchell James, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4100 Summerhill Rd, Texarkana, TX 75503 Phone: 903-735-9802 Fax: 903-735-9806

Andrew Dixon Fuller, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Texarkana, TX