Brenton Glenn Fulks, CRNA - Medicare Nurse Anesthetist, Certified Registered in Orlando, FL

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Brenton Glenn Fulks, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Orlando, Florida. His current practice location is 1817 N Mills Ave, Orlando, Florida. You can reach out to his office (for appointments etc.) via phone at (407) 896-7438.

Brenton Glenn Fulks is licensed to practice in Florida (license number ARNP2990102) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1134181175.

Contact Information

Brenton Glenn Fulks, CRNA
1817 N Mills Ave,
Orlando, FL 32803-1853
(407) 896-7438
(407) 896-7440

Map and Direction




Provider's Profile

Full NameBrenton Glenn Fulks
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location1817 N Mills Ave, Orlando, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134181175
  • Provider Enumeration Date: 04/05/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 2264405240
  • Enrollment ID: I20040817001329

Medical Identifiers

Medical identifiers for Brenton Glenn Fulks such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134181175NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered ARNP2990102 (Florida)Primary

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. Brenton Glenn Fulks allows following entities to bill medicare on his behalf.
Entity NameOcala Endoscopy Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386693240
PECOS PAC ID: 6305745936
Enrollment ID: O20040102000627
Entity NameUs Anesthesia Partners Of Florida Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518910520
PECOS PAC ID: 0345143152
Enrollment ID: O20040129000594
Entity NameCitrus Gastroenterology Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407853195
PECOS PAC ID: 4284654187
Enrollment ID: O20051206000651
Entity NameFlorida Anesthesia & Pain Management Associates, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487792792
PECOS PAC ID: 2668489709
Enrollment ID: O20060314000464
Entity NameTenet Florida Physician Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659417467
PECOS PAC ID: 0345349478
Enrollment ID: O20080129000575
Entity NameVillages Anesthesia Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962663500
PECOS PAC ID: 4183790892
Enrollment ID: O20080903000656
Entity NameInnovative Medical Staffing Solutions Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629308713
PECOS PAC ID: 8022149764
Enrollment ID: O20100624000708
Entity NameMnh Gi Anesthesia & Pain Management Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033436613
PECOS PAC ID: 2860689759
Enrollment ID: O20101203000902
Entity NameFleming Island Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487945895
PECOS PAC ID: 6002084860
Enrollment ID: O20110721000345
Entity NameRest Assured Anesthesia
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235572587
PECOS PAC ID: 9234370537
Enrollment ID: O20130730000166
Entity NameGcsc Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083002026
PECOS PAC ID: 5193040699
Enrollment ID: O20150204000189
Entity NameCcsc Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598161051
PECOS PAC ID: 4486971686
Enrollment ID: O20150327001222
Entity NameAms National Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316330830
PECOS PAC ID: 3870813025
Enrollment ID: O20150529000613
Entity NameQuiescence Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942671805
PECOS PAC ID: 2567750359
Enrollment ID: O20161011001486

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. Brenton Glenn Fulks 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 AddressPractice Location Address
Brenton Glenn Fulks, CRNA
Po Box 740209, Dept 40039,
Atlanta, GA 30374-0209

Ph: (941) 360-1566		Brenton Glenn Fulks, CRNA
1817 N Mills Ave,
Orlando, FL 32803-1853

Ph: (407) 896-7438

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Orlando, FL

Danielle Larson, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 601 E Rollins St, Orlando, FL 32803
Phone: 407-667-0444    Fax: 407-667-4338
Mary Amber Davis, RN
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 27 Wintergreen Way, Orlando, FL 32825
Phone: 386-216-8994    
Darmela Shannon Thornton, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 601 E Rollins St, Orlando, FL 32803
Phone: 407-303-5600    
Amanda Gabriele Hermida, RN
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 52 W Underwood St, Orlando, FL 32806
Phone: 321-841-5111    
Mr. Said Ricardo Acosta, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 13535 Nemours Pkwy, Orlando, FL 32827
Phone: 407-567-4000    Fax: 407-650-7124
William R Kogl, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 400 N Mills Ave, Orlando, FL 32803
Phone: 407-872-2244    Fax: 407-926-9173
Yvonne Fulbright, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 601 E Rollins St, Orlando, FL 32803
Phone: 407-667-0444    Fax: 407-667-4338

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.