| Erinn C Fuller, PA-C | |
|
3221 Beacon Parkway, Granger, IN 46530-7196 | |
| (574) 647-1670 | |
| (574) 647-6927 |
| Full Name | Erinn C Fuller |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 17 Years |
| Location | 3221 Beacon Parkway, Granger, Indiana |
| 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 |
|---|---|---|---|
| 1295058717 | NPI | - | NPPES |
| 300005961 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 10001520A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hospital Of South Bend | South bend, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Beacon Medical Group Inc | 1254243306 | 575 |
| Entity Name | Beacon Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033161617 PECOS PAC ID: 1254243306 Enrollment ID: O20031105000657 |
| Mailing Address | Practice Location Address |
|---|---|
| Erinn C Fuller, PA-C 3245 Health Dr Ste 100, Granger, IN 46530-1380 Ph: (574) 647-2129 | Erinn C Fuller, PA-C 3221 Beacon Parkway, Granger, IN 46530-7196 Ph: (574) 647-1670 |
Ms. Lisa D Raderstorf, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 52500 Fir Rd, Granger, IN 46530 Phone: 574-271-0700 |
Kara Shrider, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 15663 Fieldcrest Ct, Granger, IN 46530 Phone: 574-335-9197 |
Nichole E Geist, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3245 Health Dr Ste 100, Granger, IN 46530 Phone: 269-552-2823 Fax: 269-552-2964 |
Ms. Amy Marie Pope, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6913 N Main St, Granger, IN 46530 Phone: 574-647-1500 Fax: 574-243-4306 |
Danielle Brown, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12340 Bittersweet Commons Blvd W, Granger, IN 46530 Phone: 574-271-8610 Fax: 574-271-8620 |
Nicole Joy Minnich, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6913 N Main St, Granger, IN 46530 Phone: 574-647-1500 Fax: 574-243-4306 |