Mr Patrick Shepard Fuller, PT, DPT in Indialantic, FL - Medicare Physical Therapist Provider

Mr Patrick Shepard Fuller, PT, DPT is a medicare enrolled "Physical Therapist" provider in Indialantic, Florida. His current practice location is 408 5th Ave, Indialantic, Florida. You can reach out to his office (for appointments etc.) via phone at (321) 727-2707.

Mr Patrick Shepard Fuller is licensed to practice in Florida (license number PT-23562) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1891981221.

Contact Information

	Mr Patrick Shepard Fuller, PT, DPT
	408 5th Ave, Indialantic, FL 32903-4280
	(321) 727-2707
	(321) 727-2977

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Patrick Shepard Fuller
Gender	Male
Speciality	Physical Therapist
Location	408 5th Ave, Indialantic, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891981221
Provider Enumeration Date: 09/19/2007
Last Update Date: 09/19/2007

Medicare PECOS Information:

PECOS PAC ID: 8921198284
Enrollment ID: I20071226000482

Medical Identifiers

Medical identifiers for Mr Patrick Shepard Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891981221	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT-23562 (Florida)	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. Mr Patrick Shepard Fuller allows following entities to bill medicare on his behalf.

Provider Name	Physical Therapy Professionals Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1639276900 PECOS PAC ID: 2567461825 Enrollment ID: O20061214000036

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 Patrick Shepard 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
Mr Patrick Shepard Fuller, PT, DPT 408 5th Ave, Indialantic, FL 32903-4280 Ph: (321) 727-2707	Mr Patrick Shepard Fuller, PT, DPT 408 5th Ave, Indialantic, FL 32903-4280 Ph: (321) 727-2707

Reviews and Comments

Physical Therapist in Indialantic, FL

Mrs. Kimberly Ann Beck Gallaher, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 417 5th Ave Apt 101b, Indialantic, FL 32903 Phone: 321-327-7889 Fax: 321-372-3097
Dr. Pamela Renee Gates, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1001 S Shannon Ave, Indialantic, FL 32903 Phone: 352-514-2167 Fax: 321-234-7910
Mrs. Jean Marie C Fuller, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 408 5th Ave, Indialantic, FL 32903 Phone: 321-727-2707 Fax: 321-727-2977
Aspire Physical Therapy And Wellness Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 870 N Miramar Ave # 415, Indialantic, FL 32903 Phone: 321-698-9461
Mrs. Kelly J Miller, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 408 5th Ave, Indialantic, FL 32903 Phone: 321-727-2707 Fax: 321-409-8371
Ginger Diane Snead, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 150 5th Ave Ste C, Indialantic, FL 32903 Phone: 305-304-7842
Dr. Marco Italia, PT,DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1220 N Highway A1a Ste 117, Indialantic, FL 32903 Phone: 321-802-3312

Mr Patrick Shepard Fuller, PT, DPT - Medicare Physical Therapist in Indialantic, FL