Justin Wayne Fuller, - Medicare Certified Registered Nurse Anesthetist (crna) in Mesa, AZ

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Justin Wayne Fuller, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Mesa, Arizona. He graduated from nursing school in 2021 and has 4 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Banner - University Hospital Based Physicians Llc, Anesthesia Partners Of Arizona Llc and his current practice location is 1400 S Dobson Rd, Mesa, Arizona. You can reach out to his office (for appointments etc.) via phone at (972) 761-5508.

Justin Wayne Fuller is licensed to practice in Arizona (license number 264564) 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 1962176917.

Contact Information

Justin Wayne Fuller,
1400 S Dobson Rd,
Mesa, AZ 85202-4707
(972) 761-5508
Not Available

Map and Direction




Provider's Profile

Full NameJustin Wayne Fuller
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience4 Years
Location1400 S Dobson Rd, Mesa, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Justin Wayne Fuller graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1962176917
  • Provider Enumeration Date: 08/03/2021
  • Last Update Date: 10/26/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4880082619
  • Enrollment ID: I20211028001039

Medical Identifiers

Medical identifiers for Justin Wayne Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962176917NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 264564 (Arizona)Primary
367500000XNurse Anesthetist, Certified Registered RN185391 (Arizona)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Banner Desert Medical CenterMesa, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Banner - University Hospital Based Physicians Llc1052614294287
Anesthesia Partners Of Arizona Llc8628317179139

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. Justin Wayne Fuller allows following entities to bill medicare on his behalf.
Entity NameVhs Outpatient Clinics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912979964
PECOS PAC ID: 4486566726
Enrollment ID: O20031104000523
Entity NameArizona Advanced Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134479892
PECOS PAC ID: 0941454953
Enrollment ID: O20130129000024
Entity NameBanner - University Hospital Based Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750751566
PECOS PAC ID: 1052614294
Enrollment ID: O20160122000508
Entity NameGrand Canyon Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356822902
PECOS PAC ID: 3678824752
Enrollment ID: O20180928002378
Entity NameAnesthesia Partners Of Arizona Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619452901
PECOS PAC ID: 8628317179
Enrollment ID: O20190228001927
Entity NameHospitalist Medicine Physicians Of Arizona - Nogales
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487251799
PECOS PAC ID: 9335554625
Enrollment ID: O20210218002429

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. Justin Wayne 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 AddressPractice Location Address
Justin Wayne Fuller,
1400 S Dobson Rd,
Mesa, AZ 85202-4707

Ph: (972) 761-5508		Justin Wayne Fuller,
1400 S Dobson Rd,
Mesa, AZ 85202-4707

Ph: (972) 761-5508

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Mesa, AZ

Annabell Stimac, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3060 N Ridgecrest, Apt 164, Mesa, AZ 85207
Phone: 480-654-8197    
Joshua Todd Austin, CRNA
Nurse Anesthetist - CR
Medicare: May Accept Medicare Assignments
Practice Location: 6644 E Baywood Ave, Mesa, AZ 85206
Phone: 480-321-2000    
Juancho C. Depaolo, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1301 S Crismon Rd, Mesa, AZ 85209
Phone: 800-402-0881    
Mr. Stephen Troy Porter, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 135 S Power Rd Ste 110, Mesa, AZ 85206
Phone: 480-745-8577    
Candice Weierman Rodriguez, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 4838 E. Baseline Road, Suite 108, Mesa, AZ 85206
Phone: 480-981-2400    Fax: 480-981-2407
Jennifer Michelle Hayden, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1155 S Power Rd Ste, Mesa, AZ 85206
Phone: 623-271-2254    
Stuart Russell,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2330 E Jasmine St, Mesa, AZ 85213
Phone: 480-980-7302    

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.