William Johnson Fuller, DPT in Moncks Corner, SC - Medicare Physical Therapist Provider

William Johnson Fuller, DPT is a medicare enrolled "Physical Therapist" provider in Moncks Corner, South Carolina. His current practice location is 116 Foxbank Plantation Blvd Ste E, Moncks Corner, South Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 761-4622.

William Johnson Fuller is licensed to practice in South Carolina (license number ) 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 1750062824.

Contact Information

	William Johnson Fuller, DPT
	116 Foxbank Plantation Blvd Ste E, Moncks Corner, SC 29461-6741
	(843) 761-4622
	(803) 759-8002

Map and Direction

Healthcare Provider's Profile

Full Name	William Johnson Fuller
Gender	Male
Speciality	Physical Therapist
Location	116 Foxbank Plantation Blvd Ste E, Moncks Corner, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750062824
Provider Enumeration Date: 07/31/2023
Last Update Date: 06/19/2025

Medicare PECOS Information:

PECOS PAC ID: 4385093210
Enrollment ID: I20231218000897

Medical Identifiers

Medical identifiers for William Johnson Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750062824	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT40202 (Florida)	Secondary
225100000X	Physical Therapist	(South Carolina)	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. William Johnson Fuller allows following entities to bill medicare on his behalf.

Provider Name	Optimal Performance And Physical Therapies Northdale Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1740511195 PECOS PAC ID: 0749317709 Enrollment ID: O20100422000710

Provider Name	Optimal Performance And Physical Therapies Northdale Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1093399347 PECOS PAC ID: 0749317709 Enrollment ID: O20210928000759

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. William Johnson 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
William Johnson Fuller, DPT 2001 Butterfield Rd Ste 1600, Downers Grove, IL 60515-1211 Ph: () -	William Johnson Fuller, DPT 116 Foxbank Plantation Blvd Ste E, Moncks Corner, SC 29461-6741 Ph: (843) 761-4622

Reviews and Comments

Physical Therapist in Moncks Corner, SC

Lindsey Pezzo, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 116 Foxbank Plantation Blvd Ste E, Moncks Corner, SC 29461 Phone: 843-761-4622 Fax: 843-761-4625
Coastal Clemson Enterprise Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 115 Cooks Rest Ln, Moncks Corner, SC 29461 Phone: 678-978-2395
Elizabeth Clemson, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2061 Us-52, Moncks Corner, SC 29461 Phone: 843-761-4622
Ronald E Klingensmith, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 116 Foxbank Plantation Blvd Ste E, Moncks Corner, SC 29461 Phone: 843-761-4622 Fax: 803-759-8002
Dr. Elizabeth Geiger Harvey, PT, DPT, MSR, DHS Physical Therapist Medicare: Medicare Enrolled Practice Location: 737 Bunkerhill Ln, Moncks Corner, SC 29461 Phone: 843-482-0878
Dane R Mowitz, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2061 Highway 52, Moncks Corner, SC 29461 Phone: 843-761-4622
Kbr Physical Therapy, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 314 Albrighton Way, Moncks Corner, SC 29461 Phone: 843-810-8501

William Johnson Fuller, DPT - Medicare Physical Therapist in Moncks Corner, SC