Dr Jay Fuller, OD - Medicare Optometrist in Gulfport, MS

Dr Jay Fuller, OD is a medicare enrolled "Optometrist" provider in Gulfport, Mississippi. He went to Southern College Of Optometry and graduated in 2012 and has 12 years of diverse experience with area of expertise as Optometry. His current practice location is 2170 E Pass Rd Ste A, Gulfport, Mississippi. You can reach out to his office (for appointments etc.) via phone at (228) 262-0266.

Dr Jay Fuller is licensed to practice in Mississippi (license number 851) 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 1053667758.

Contact Information

Dr Jay Fuller, OD
2170 E Pass Rd Ste A,
Gulfport, MS 39507-3864
(228) 262-0266
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Jay Fuller
GenderMale
SpecialityOptometry
Experience12 Years
Location2170 E Pass Rd Ste A, Gulfport, Mississippi
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:
  • Dr Jay Fuller attended and graduated from Southern College Of Optometry in 2012
  NPI Data:
  • NPI Number: 1053667758
  • Provider Enumeration Date: 07/31/2012
  • Last Update Date: 12/30/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4486803566
  • Enrollment ID: I20121004000584

Medical Identifiers

Medical identifiers for Dr Jay Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053667758NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 851 (Mississippi)Primary

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. Dr Jay Fuller allows following entities to bill medicare on his behalf.
Provider NameTri County Eye Clinic, Pllc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1700859881
PECOS PAC ID: 9830104819
Enrollment ID: O20060213000270
Provider NameFuller Vision, Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1215655915
PECOS PAC ID: 0345626727
Enrollment ID: O20221010000106

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. Dr Jay 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
Dr Jay Fuller, OD
2170 E Pass Rd Ste A,
Gulfport, MS 39507-3864

Ph: (228) 262-0266
Dr Jay Fuller, OD
2170 E Pass Rd Ste A,
Gulfport, MS 39507-3864

Ph: (228) 262-0266

Reviews and Comments


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Dr. Jon Barry Marshall, O.D.
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Phone: 228-896-8619    Fax: 228-896-8619
Dr. Nha Ngo, OD
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Phone: 228-832-1832    

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.