Bruce W Fuller, MD in South Pasadena, FL

Bruce W Fuller, MD is a medicare enrolled "Dermatology" physician in South Pasadena, Florida. He went to Geisel School Of Medicine At Dartmouth and graduated in 2003 and has 21 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Mountain West Derm - Blackhart Pllc and his current practice location is 1609 Pasadena Ave S Ste 4c, South Pasadena, Florida. You can reach out to his office (for appointments etc.) via phone at (727) 347-7524.

Bruce W Fuller is licensed to practice in Florida (license number ME99153) 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 1588861397.

Contact Information

	Bruce W Fuller, MD
	1609 Pasadena Ave S Ste 4c, South Pasadena, FL 33707-4564
	(727) 347-7524
	(727) 384-6336

Map and Direction

Physician's Profile

Full Name	Bruce W Fuller
Gender	Male
Speciality	Dermatology
Experience	21 Years
Location	1609 Pasadena Ave S Ste 4c, South Pasadena, Florida
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:

Bruce W Fuller attended and graduated from Geisel School Of Medicine At Dartmouth in 2003

NPI Data:

NPI Number: 1588861397
Provider Enumeration Date: 06/27/2007
Last Update Date: 01/31/2019

Medicare PECOS Information:

PECOS PAC ID: 9537258231
Enrollment ID: I20191108001950

Medical Identifiers

Medical identifiers for Bruce W Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588861397	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	ME99153 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mountain West Derm - Blackhart Pllc	1153609813	105

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. Bruce W Fuller allows following entities to bill medicare on his behalf.

Entity Name	Mountain West Derm - Blackhart Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740633015 PECOS PAC ID: 1153609813 Enrollment ID: O20161031002278

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. Bruce W 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
Bruce W Fuller, MD 1609 Pasadena Ave S Ste 4c, South Pasadena, FL 33707-4564 Ph: (727) 347-7524	Bruce W Fuller, MD 1609 Pasadena Ave S Ste 4c, South Pasadena, FL 33707-4564 Ph: (727) 347-7524

Bruce W Fuller, MD - Medicare Dermatology in South Pasadena, FL