Brian G Fuller, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in Coos Bay, Oregon. He went to University Of California, Geffen School Of Medicine and graduated in 1987 and has 37 years of diverse experience with area of expertise as Radiation Oncology. He is a member of the group practice San Juan Regional Medical Center, Inc. and his current practice location is
1775 Thompson Rd, Coos Bay, Oregon. You can reach out to his office (for appointments etc.) via phone at
(541) 269-8520.
Brian G Fuller is licensed to practice in Oregon (license number MD186291) 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 1396834412.
Physician's Profile
Full Name | Brian G Fuller |
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Gender | Male |
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Speciality | Radiation Oncology |
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Experience | 37 Years |
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Location | 1775 Thompson Rd, Coos Bay, Oregon |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Brian G Fuller attended and graduated from University Of California, Geffen School Of Medicine in 1987
NPI Data:
- NPI Number: 1396834412
- Provider Enumeration Date: 10/12/2006
- Last Update Date: 12/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 0749289643
- Enrollment ID: I20240106000745
Medical Identifiers
Medical identifiers for Brian G Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396834412 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0001X | Radiology - Radiation Oncology | 49432 (Colorado) | Secondary |
2085R0001X | Radiology - Radiation Oncology | MD186291 (Oregon) | Primary |
2085R0001X | Radiology - Radiation Oncology | MD2023-0362 (New Mexico) | Secondary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
San Juan Regional Medical Center, Inc. | 4587559505 | 171 |
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. Brian G Fuller allows following entities to bill medicare on his behalf.
Entity Name | San Juan Regional Medical Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1639662901 PECOS PAC ID: 4587559505 Enrollment ID: O20040218000865 |
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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. Brian G 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 |
Brian G Fuller, MD 1775 Thompson Rd, Coos Bay, OR 97420-2125 Ph: (541) 269-8520 | Brian G Fuller, MD 1775 Thompson Rd, Coos Bay, OR 97420-2125 Ph: (541) 269-8520 |
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