Colleen C Fuller, MD in Shreveport, LA - Medicare Anesthesiology

Colleen C Fuller, MD is a medicare enrolled "Anesthesiology" physician in Shreveport, Louisiana. Her current practice location is 1945 E 70th St, Suite B, Shreveport, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 797-1743.

Colleen C Fuller is licensed to practice in Louisiana (license number 014708) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1790764835.

Contact Information

	Colleen C Fuller, MD
	1945 E 70th St, Suite B, Shreveport, LA 71105-5347
	(318) 797-1743
	Not Available

Map and Direction

Physician's Profile

Full Name	Colleen C Fuller
Gender	Female
Speciality	Anesthesiology
Location	1945 E 70th St, Shreveport, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790764835
Provider Enumeration Date: 01/16/2006
Last Update Date: 11/17/2011

Medicare PECOS Information:

PECOS PAC ID: 6901095892
Enrollment ID: I20110107000234

Medical Identifiers

Medical identifiers for Colleen C Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790764835	NPI	-	NPPES
1938271	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	014708 (Louisiana)	Primary

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. Colleen C Fuller allows following entities to bill medicare on her behalf.

Entity Name	Shreveport Surgery Center Ptrshp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992925135 PECOS PAC ID: 9830141597 Enrollment ID: O20050210000899

Entity Name	Pierremont Anesthesia Consultants
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063467496 PECOS PAC ID: 0547200057 Enrollment ID: O20110127001034

Entity Name	Lsu Health Sciences Center Shreveport Faculty Group Practice
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013374222 PECOS PAC ID: 4082902721 Enrollment ID: O20161012000307

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. Colleen C 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
Colleen C Fuller, MD Po Box 52448, Shreveport, LA 71135-2448 Ph: (318) 797-1743	Colleen C Fuller, MD 1945 E 70th St, Suite B, Shreveport, LA 71105-5347 Ph: (318) 797-1743

Reviews and Comments

Anesthesiology Doctors in Shreveport, LA

Dr. James Williams, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1 Saint Mary Pl, Shreveport, LA 71101 Phone: 318-681-4440
Maurice Hawley, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenwood Rd, Shreveport, LA 71103 Phone: 972-664-6963 Fax: 770-237-4731
Hiram Vazquez, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3217 Mabel St, Shreveport, LA 71103 Phone: 318-631-9121 Fax: 318-631-9126
Azem Chami, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000
Cleveland S Waterman, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Shreveport, LA 71103 Phone: 318-675-5581
Dr. Akmal A Mikhail I, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 318-221-8411
Dr. Harish Bangalore Siddaiah, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Highway, Department Of Anesthesiology, Shreveport, LA 71103 Phone: 318-626-1565 Fax: 318-675-6681

Colleen C Fuller, MD - Medicare Anesthesiology in Shreveport, LA