Mimi O Fuller, CNA - Nurse Anesthetist, Certified Registered in Spartanburg, SC

Mimi O Fuller, CNA is a Nurse Anesthetist, Certified Registered based in Spartanburg, South Carolina. Mimi O Fuller is licensed to practice in South Carolina (license number SCAPN987) and her current practice location is 735 E Main Street, Spartanburg, South Carolina. She can be reached at her office (for appointments etc.) via phone at (864) 542-1308.

NPI number for Mimi O Fuller is 1326155128 and her current mailing address is 735 E Main Street, Spartanburg, South Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1326155128.

Contact Information

Mimi O Fuller, CNA
735 E Main Street,
Spartanburg, SC 29302-1281
(864) 542-1308
Not Available

Map and Direction




Provider's Profile

Full NameMimi O Fuller
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location735 E Main Street, Spartanburg, South Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1326155128
  • Provider Enumeration Date: 08/25/2006
  • Last Update Date: 10/25/2007

Medical Identifiers

Medical identifiers for Mimi O Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326155128NPI-NPPES
AN0665MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered SCAPN987 (South Carolina)Primary
367500000XNurse Anesthetist, Certified Registered AANA22356 (South Carolina)Secondary

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. Mimi O Fuller is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mimi O Fuller, CNA
735 E Main Street,
Spartanburg, SC 29302-1281

Ph: (864) 542-1308
Mimi O Fuller, CNA
735 E Main Street,
Spartanburg, SC 29302-1281

Ph: (864) 542-1308

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Spartanburg, SC

Adam Raynes,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 101 E Wood St, Spartanburg, SC 29303
Phone: 864-560-6000    
Christin Bailey Coggins, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 101 E Wood St, Spartanburg, SC 29303
Phone: 864-560-6000    Fax: 864-560-4023
Melissa E Richardson, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 101 E Wood St, Spartanburg, SC 29303
Phone: 864-560-6122    
Charity Michelle Taylor, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 101 E Wood St, Spartanburg, SC 29303
Phone: 864-560-6000    Fax: 864-560-4023
Mr. Richard Niles Vaught, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 101 E Wood St, Spartanburg, SC 29303
Phone: 864-560-6000    
Mrs. Lori Saxon Brooks, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 101 E Wood St, Spartanburg, SC 29303
Phone: 864-560-6122    Fax: 864-560-6276
Seth Tyler House, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 101 E Wood St, Spartanburg, SC 29303
Phone: 864-560-6122    

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.