| Anthony Raymond Fuller, CRNA | |
|
602 Indiana Ave, Lubbock, TX 79415-3364 | |
| (806) 775-8200 | |
| Not Available |
| Full Name | Anthony Raymond Fuller |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 8 Years |
| Location | 602 Indiana Ave, Lubbock, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073085999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AP140202 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Covenant Medical Center | Lubbock, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northstar Anesthesia Pa | 7315907128 | 231 |
| 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 | Texas Tech University Health Sciences Center Lubbock |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063461358 PECOS PAC ID: 4385549674 Enrollment ID: O20110318000468 |
| Entity Name | Lubbock Gastroenterology & Liver Associates PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356979397 PECOS PAC ID: 0941630966 Enrollment ID: O20200415001281 |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony Raymond Fuller, CRNA 1122 Ballard Green Pl, Brandon, FL 33511-2390 Ph: (806) 790-5329 | Anthony Raymond Fuller, CRNA 602 Indiana Ave, Lubbock, TX 79415-3364 Ph: (806) 775-8200 |
Kayleigh Minielly, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2412 50th St, Lubbock, TX 79412 Phone: 806-744-7223 Fax: 806-740-3325 |
Mr. Nzonguti Ekangaki, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3601 4th St Ste 1b350s, Lubbock, TX 79430 Phone: 806-743-6639 |
Mrs. Mayme Alicia Matthews, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Texas Tech University Health Sciences Ctr, 3601 4th Street, Ms 8182, Lubbock, TX 79430 Phone: 806-743-2981 Fax: 806-743-2982 |
Mr. Joshua Kain Jones, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5602 Geneva Ave, Lubbock, TX 79413 Phone: 432-349-0935 |
Morgan Gamble, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3514 21st St, Lubbock, TX 79410 Phone: 806-725-0000 |
Mrs. Sarah L Daftarian, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3601 4th St, Lubbock, TX 79430 Phone: 806-743-2981 Fax: 806-743-2984 |
Joshua Alan Long, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3601 4th St, Ste. 1b350k, Lubbock, TX 79430 Phone: 806-743-2981 Fax: 806-743-2984 |