Lauren Fuller, is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Surprise, Arizona. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Regency Skin Institute Pllc and her current practice location is
14725 W Mountain View Blvd, Surprise, Arizona. You can reach out to her office (for appointments etc.) via phone at
(623) 243-9077.
Lauren Fuller is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1144119157.
Provider's Profile
| Full Name | Lauren Fuller |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 5 Years |
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| Location | 14725 W Mountain View Blvd, Surprise, Arizona |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Lauren Fuller graduated from nursing school in 2021
NPI Data:
- NPI Number: 1144119157
- Provider Enumeration Date: 07/02/2025
- Last Update Date: 07/02/2025
Medicare PECOS Information:
- PECOS PAC ID: 3375037781
- Enrollment ID: I20251212002323
Medical Identifiers
Medical identifiers for Lauren Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144119157 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Regency Skin Institute Pllc | 5193097665 | 15 |
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. Lauren 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 |
|---|
Lauren Fuller,
3010 W 7th St Apt 302,
Little Rock, AR 72205-6031
Ph: (501) 766-1355 | Lauren Fuller,
14725 W Mountain View Blvd,
Surprise, AZ 85374-2704
Ph: (623) 243-9077 |
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