Bryan H Fuller, MD | |
1005 E Ring Rd, Ironton, OH 45638-9610 | |
(740) 534-9830 | |
(740) 534-9832 |
Full Name | Bryan H Fuller |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 27 Years |
Location | 1005 E Ring Rd, Ironton, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104898592 | NPI | - | NPPES |
2191453 | Medicaid | OH | |
000000634705 | Other | KY | ANTHEM BCBS |
000000653707 | Other | KY | ANTHEM BCBS |
000000380360 | Other | KY | ANTHEM BCBS |
000000594108 | Other | KY | ANTHEM BCBS |
64022601 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 35078023 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Southern Ohio Medical Center | Portsmouth, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Somc Medical Care Foundation, Inc. | 9436061645 | 234 |
Entity Name | Somc Medical Care Foundation, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457467227 PECOS PAC ID: 9436061645 Enrollment ID: O20031125000203 |
Mailing Address | Practice Location Address |
---|---|
Bryan H Fuller, MD 1735 27th St Ste B06, Portsmouth, OH 45662-2681 Ph: (740) 356-8681 | Bryan H Fuller, MD 1005 E Ring Rd, Ironton, OH 45638-9610 Ph: (740) 534-9830 |
Dr. Satyanarayana Venkata Kadim, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 411 Center St, Ironton, OH 45638 Phone: 740-533-9002 Fax: 740-533-9002 | |
Ludivina R Dorado, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2213 South 9th Street, Ironton, OH 45638 Phone: 740-532-6634 | |
Roland E. Benton, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1005 E Ring Rd, Ironton, OH 45638 Phone: 740-534-9830 Fax: 740-534-9832 |