Mr Edwin S Fuller, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Hardeeville, South Carolina. He graduated from nursing school in 1990 and has 36 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Cep America - Anesthesia Pc and his current practice location is
1000 Medical Center Dr, Hardeeville, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(785) 770-5284.
Mr Edwin S Fuller is licensed to practice in Georgia (license number R105765) 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 1396765475.
Provider's Profile
| Full Name | Mr Edwin S Fuller |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 36 Years |
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| Location | 1000 Medical Center Dr, Hardeeville, South Carolina |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Edwin S Fuller graduated from nursing school in 1990
NPI Data:
- NPI Number: 1396765475
- Provider Enumeration Date: 07/20/2006
- Last Update Date: 10/12/2025
Medicare PECOS Information:
- PECOS PAC ID: 2264425537
- Enrollment ID: I20180808003423
Medical Identifiers
Medical identifiers for Mr Edwin S Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396765475 | NPI | - | NPPES |
| 00550734C | Medicaid | GA | |
| 000550734E | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R105765 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Cep America - Anesthesia Pc | 3678897915 | 397 |
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. Mr Edwin S Fuller allows following entities to bill medicare on his behalf.
| Entity Name | Medstream Anesthesia Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649616160
PECOS PAC ID: 7416198049
Enrollment ID: O20140304001021 |
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| Entity Name | Cep America - Anesthesia Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1639995830
PECOS PAC ID: 3678897915
Enrollment ID: O20250107002891 |
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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. Mr Edwin S 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 |
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Mr Edwin S Fuller, CRNA
42 Meridian Rd,
Beaufort, SC 29907-1404
Ph: (785) 770-5284 | Mr Edwin S Fuller, CRNA
1000 Medical Center Dr,
Hardeeville, SC 29927-3446
Ph: (785) 770-5284 |
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