Dr Bruce Evans Fuller, MD | |
885 Kempsville Rd Ste 309, Norfolk, VA 23502-3800 | |
(757) 461-1033 | |
(757) 299-4949 |
Full Name | Dr Bruce Evans Fuller |
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Gender | Male |
Speciality | Dermatology |
Experience | 39 Years |
Location | 885 Kempsville Rd Ste 309, Norfolk, Virginia |
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 |
---|---|---|---|
1538117890 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 0101045701 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Integrated Dermatology Of Tidewater Llc | 8325277031 | 9 |
Entity Name | Sentara Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265485270 PECOS PAC ID: 8921903923 Enrollment ID: O20031203000466 |
Entity Name | Integrated Dermatology Of Tidewater Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801238472 PECOS PAC ID: 8325277031 Enrollment ID: O20140129000617 |
Mailing Address | Practice Location Address |
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Dr Bruce Evans Fuller, MD Po Box 2579, Newport News, VA 23609-0579 Ph: (757) 872-7787 | Dr Bruce Evans Fuller, MD 885 Kempsville Rd Ste 309, Norfolk, VA 23502-3800 Ph: (757) 461-1033 |
Brian Bradley Johnson, MD Dermatology Medicare: Medicare Enrolled Practice Location: 5630 Lowery Rd Ste 200, Norfolk, VA 23502 Phone: 757-455-5009 Fax: 757-362-3577 | |
Dr. Antoinette Foote Hood, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 721 Fairfax Ave, Suite 200, Norfolk, VA 23507 Phone: 757-446-5629 Fax: 757-446-6000 | |
Molly K Smith, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 6160 Kempsville Cir Ste 200a, Norfolk, VA 23502 Phone: 757-622-6315 Fax: 757-622-7022 | |
Dr. Mark W Jenison, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 850 Kempsville Rd, Norfolk, VA 23502 Phone: 757-466-5733 Fax: 757-466-5623 | |
Dr. Brian L Johnson, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5630 Lowery Rd, Norfolk, VA 23502 Phone: 757-455-5009 Fax: 757-362-3577 | |
Ruaa Jasim, MD Dermatology Medicare: Medicare Enrolled Practice Location: 721 Fairfax Ave Ste 200, Norfolk, VA 23507 Phone: 757-446-5629 Fax: 757-446-6000 | |
Katherine Gresham Belote, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 6160 Kempsville Cir Ste 200a, Norfolk, VA 23502 Phone: 757-622-6315 Fax: 757-622-7022 |