Andrea Marie Fullerton, MD | |
1515 S Clifton, Ste 400, Wichita, KS 67208 | |
(316) 636-1550 | |
(316) 689-9769 |
Full Name | Andrea Marie Fullerton |
---|---|
Gender | Female |
Speciality | Obstetrics/gynecology |
Experience | 17 Years |
Location | 1515 S Clifton, Wichita, Kansas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063617587 | NPI | - | NPPES |
003719131 | Other | MEDICARE | |
200429620A | Other | OK | OK MEDICAID |
200865920A | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 046772 (Kansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Via Christi Hospital-wichita | Wichita, KS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ascension Medical Group Via Christi, Pa | 2961314497 | 167 |
Entity Name | Ascension Medical Group Via Christi, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063453991 PECOS PAC ID: 2961314497 Enrollment ID: O20031104000089 |
Entity Name | Kingman County Family Medicine Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770785362 PECOS PAC ID: 0941266852 Enrollment ID: O20041202000643 |
Mailing Address | Practice Location Address |
---|---|
Andrea Marie Fullerton, MD Po Box 8035, Wichita, KS 67208-0035 Ph: (316) 689-9135 | Andrea Marie Fullerton, MD 1515 S Clifton, Ste 400, Wichita, KS 67208 Ph: (316) 636-1550 |
Mackenzie Michelle Enmeier, DO Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-293-2665 | |
Damen Wayne Hershberger, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 9300 E 29th St N Ste 320, Wichita, KS 67226 Phone: 316-858-7100 Fax: 316-858-7103 | |
Edmond G Feuille Ii, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 551 N Hillside St, Ste 510, Wichita, KS 67214 Phone: 316-685-0559 Fax: 316-685-0455 | |
Dr. Elizabeth Carole Melton-mendoza, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-962-3100 | |
Lucy Lehoczky, Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1010 N Kansas St Ste 3023, Wichita, KS 67214 Phone: 316-293-2665 | |
Dr. Thalia J Lopez, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 527 N Grove St, Wichita, KS 67214 Phone: 316-262-2415 Fax: 316-264-4734 |