Dr Daniel Richards Fullmer, MD in Lynnwood, WA - Medicare Diagnostic Radiology

Dr Daniel Richards Fullmer, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Lynnwood, Washington. He went to University Of Utah School Of Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Jackson Radiology Associates Pa, Jackson Radiology Associates Pa and his current practice location is 19020 33rd Ave W Ste 210, Lynnwood, Washington. You can reach out to his office (for appointments etc.) via phone at (425) 563-1500.

Dr Daniel Richards Fullmer is licensed to practice in Washington (license number MD00049079) 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 1114994738.

Contact Information

	Dr Daniel Richards Fullmer, MD
	19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748
	(425) 563-1500
	(425) 563-1501

Map and Direction

Physician's Profile

Full Name	Dr Daniel Richards Fullmer
Gender	Male
Speciality	Diagnostic Radiology
Experience	28 Years
Location	19020 33rd Ave W Ste 210, Lynnwood, Washington
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:

Dr Daniel Richards Fullmer attended and graduated from University Of Utah School Of Medicine in 1996

NPI Data:

NPI Number: 1114994738
Provider Enumeration Date: 03/02/2006
Last Update Date: 04/12/2019

Medicare PECOS Information:

PECOS PAC ID: 1850204413
Enrollment ID: I20210503001700

Medical Identifiers

Medical identifiers for Dr Daniel Richards Fullmer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114994738	NPI	-	NPPES
0285030	Other	WA	L&I-RADIA REST OF WA
0377766	Other	WA	L&I-SWEDISH RADIA EDMONDS
1114994738	Medicaid	ID
4102721	Other		BCBS
0377759	Other	WA	L&I-RADIA KING COUNTY
1054630	Medicaid	WA
4019715	Other		BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	M-12249 (Idaho)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	MD00049079 (Washington)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Jackson-madison County General Hospital	Jackson, TN	Hospital
Milan General Hospital	Milan, TN	Hospital
Volunteer Community Hospital	Martin, TN	Hospital
Bolivar General Hospital	Bolivar, TN	Hospital
Camden General Hospital	Camden, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Jackson Radiology Associates Pa	6305893231	27
Jackson Radiology Associates Pa	6305893231	27

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. Dr Daniel Richards Fullmer allows following entities to bill medicare on his behalf.

Entity Name	Jackson Radiology Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699700716 PECOS PAC ID: 6305893231 Enrollment ID: O20210503001553

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. Dr Daniel Richards Fullmer 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
Dr Daniel Richards Fullmer, MD 19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 Ph: (425) 563-1500	Dr Daniel Richards Fullmer, MD 19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 Ph: (425) 563-1500

Reviews and Comments

Radiology Doctors in Lynnwood, WA

Dr. Patrick T. Hurley, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 19020 33rd Ave W, Suite 210, Lynnwood, WA 98036 Phone: 425-563-1500 Fax: 425-563-1501
Dr. Michael Larson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 19020 33rd Ave W Ste 210, Lynnwood, WA 98036 Phone: 425-563-1500 Fax: 425-563-1501
Dr. Brian James Mccallie, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 19020 33rd Ave W Ste 210, Lynnwood, WA 98036 Phone: 425-563-1500 Fax: 425-563-1501
Dr. Frederick F Kash, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 19020 33rd Ave W Ste 210, Lynnwood, WA 98036 Phone: 425-563-1500 Fax: 425-563-1501
Dr. Judson E Threlkeld, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 19020 33rd Ave W Ste 210, Lynnwood, WA 98036 Phone: 425-563-1500 Fax: 425-563-1501
Dr. Melissa A. Hayes Balmadrid, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 19020 33rd Ave W, Suite 210, Lynnwood, WA 98036 Phone: 425-563-1500 Fax: 425-563-1501
Dr. Andrew James Harrison, DO Radiology Medicare: May Accept Medicare Assignments Practice Location: 19020 33rd Ave W Ste 210, Lynnwood, WA 98036 Phone: 425-563-1500 Fax: 425-563-1501

Dr Daniel Richards Fullmer, MD - Medicare Diagnostic Radiology in Lynnwood, WA