| Fuller Family Medicine, Pc | |
| 4045 Avenue B Billings MT 59106 | |
| (713) 256-1801 | |
| (832) 413-5904 | 
| Full Name | Fuller Family Medicine, Pc | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 4045 Avenue B, Billings, Montana | 
| Authorized Official Name and Position | Retha H Reeves (ADMINISTRATOR) | 
| Authorized Official Contact | 7132561801 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Fuller Family Medicine, Pc 4045 Avenue B Billings MT 59106 Ph: (713) 256-1801 | Fuller Family Medicine, Pc 4045 Avenue B Billings MT 59106 Ph: (713) 256-1801 | 
| NPI Number | 1063700722 | 
|---|---|
| Provider Enumeration Date | 07/15/2011 | 
| Last Update Date | 12/05/2024 | 
| Medicare PECOS PAC ID | 1557533312 | 
|---|---|
| Medicare Enrollment ID | O20111020000613 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1063700722 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | 10392 (Montana) | Secondary | 
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary | 
| Provider Name | Bradley D Fuller | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1083652564 PECOS PAC ID: 1850330861 Enrollment ID: I20050428001097 | 
| Provider Name | Melissa L Fuller | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1831329804 PECOS PAC ID: 2769537125 Enrollment ID: I20090908000679 | 
| Provider Name | Angela B Fuller | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1184033722 PECOS PAC ID: 5193945228 Enrollment ID: I20141013000676 | 
| Provider Name | Elizabeth Anne Mckinney | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1568168417 PECOS PAC ID: 6800328352 Enrollment ID: I20241022002549 | 
| Yellowstone City County Health Department Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2626 1st Ave S, Billings, MT 59101 Phone: 406-247-3200 Fax: 406-247-3202 | |
| St Vincent Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2900 12th Ave N, Suite 130w, Billings, MT 59101 Phone: 406-237-3620 | |
| Pediatric Therapy Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1610 Poly Dr, Billings, MT 59102 Phone: 406-259-1680 | |
| Circle 7 Solutions Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3737 Grand Ave Ste 2, Billings, MT 59102 Phone: 406-861-5517 | |
| St. Vincent Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2900 12th Ave N, Suite 340w, Billings, MT 59101 Phone: 406-237-4050 Fax: 406-237-4004 | |
| Scl Health Montana Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1233 N 30th St, Billings, MT 59101 Phone: 406-237-7250 | |
| St. Vincent Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2019 Broadwater Ave, Billings, MT 59102 Phone: 406-237-5200 Fax: 406-237-5205 |