Daniel Creighton Fullin, MD - Medicare Anesthesiology in Pleasant Prairie, WI

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Daniel Creighton Fullin, MD is a medicare enrolled "Anesthesiology" physician in Pleasant Prairie, Wisconsin. His current practice location is 9555 76th St, Pleasant Prairie, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 577-8000.

Daniel Creighton Fullin is licensed to practice in Wisconsin (license number 77026-20) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1487040366.

Contact Information

Daniel Creighton Fullin, MD
9555 76th St,
Pleasant Prairie, WI 53158-1984
(262) 577-8000
Not Available

Map and Direction




Physician's Profile

Full NameDaniel Creighton Fullin
GenderMale
SpecialityAnesthesiology
Location9555 76th St, Pleasant Prairie, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1487040366
  • Provider Enumeration Date: 04/08/2015
  • Last Update Date: 04/23/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9638487119
  • Enrollment ID: I20220920000298

Medical Identifiers

Medical identifiers for Daniel Creighton Fullin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487040366NPI-NPPES
100209976MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 77026-20 (Wisconsin)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. Daniel Creighton Fullin allows following entities to bill medicare on his behalf.
Entity NameAurora Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725
Entity NameMidwest Physicians Anesthesia Service, Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275586653
PECOS PAC ID: 0446230445
Enrollment ID: O20040721000807

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. Daniel Creighton Fullin 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 AddressPractice Location Address
Daniel Creighton Fullin, MD
225 S Executive Dr,
Brookfield, WI 53005-4257

Ph: (262) 787-6741		Daniel Creighton Fullin, MD
9555 76th St,
Pleasant Prairie, WI 53158-1984

Ph: (262) 577-8000

Reviews and Comments


Anesthesiology Doctors in Pleasant Prairie, WI


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.