Tamera S Fuller, PA-C - Medicare Physician Assistant in Tigard, OR

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Tamera S Fuller, PA-C is a medicare enrolled "Physician Assistant" in Tigard, Oregon. She went to University Of Washington School Of Medicine and graduated in 2016 and has 10 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Providence Health And Services Oregon, Icco Llc and her current practice location is 18040 Sw Lower Boones Ferry Rd Ste 100, Tigard, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 216-0700.

Tamera S Fuller is licensed to practice in Oregon (license number PA195237) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1376935270.

Contact Information

Tamera S Fuller, PA-C
18040 Sw Lower Boones Ferry Rd Ste 100,
Tigard, OR 97224-7259
(503) 216-0700
Not Available

Map and Direction




Provider's Profile

Full NameTamera S Fuller
GenderFemale
SpecialityPhysician Assistant
Experience10 Years
Location18040 Sw Lower Boones Ferry Rd Ste 100, Tigard, Oregon
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tamera S Fuller attended and graduated from University Of Washington School Of Medicine in 2016
  NPI Data:
  • NPI Number: 1376935270
  • Provider Enumeration Date: 03/02/2015
  • Last Update Date: 11/04/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8022398833
  • Enrollment ID: I20191204001201

Medical Identifiers

Medical identifiers for Tamera S Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376935270NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical PA195237 (Oregon)Secondary
363AM0700XPhysician Assistant - Medical 6069635270 (Washington)Secondary
363A00000XPhysician Assistant PA195237 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Providence St Vincent Medical CenterPortland, ORHospital
Providence Newberg Medical CenterNewberg, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Health And Services Oregon06481836081423
Icco Llc1355406729133

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. Tamera S Fuller allows following entities to bill medicare on her behalf.
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023488343
PECOS PAC ID: 0648183608
Enrollment ID: O20031106000652
Entity NameLegacy Clinics LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902827272
PECOS PAC ID: 0244144004
Enrollment ID: O20031117000089
Entity NameIcco LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407004757
PECOS PAC ID: 1355406729
Enrollment ID: O20090218000510

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. Tamera 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 AddressPractice Location Address
Tamera S Fuller, PA-C
18040 Sw Lower Boones Ferry Rd Ste 100,
Tigard, OR 97224-7259

Ph: Not Available		Tamera S Fuller, PA-C
18040 Sw Lower Boones Ferry Rd Ste 100,
Tigard, OR 97224-7259

Ph: (503) 216-0700

Reviews and Comments


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Andrew David Bodmer, PA-C
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Phone: 971-708-7600    Fax: 971-371-5230
Kenric Brion Craver, PA
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Practice Location: 18040 Sw Lower Boones Ferry Rd, Tigard, OR 97224
Phone: 503-216-0700    

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.