Dr Charles Berry Fullenwider, MD - Medicare Neurosurgery in Muskogee, OK

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Dr Charles Berry Fullenwider, MD is a medicare enrolled "Neurological Surgery" physician in Muskogee, Oklahoma. He went to University Of Oklahoma College Of Medicine and graduated in 1978 and has 46 years of diverse experience with area of expertise as Neurosurgery. He is a member of the group practice Warren Clinic Inc and his current practice location is 4318 W Okmulgee St, Muskogee, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (918) 683-1238.

Dr Charles Berry Fullenwider is licensed to practice in Oklahoma (license number 12300) 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 1447245063.

Contact Information

Dr Charles Berry Fullenwider, MD
4318 W Okmulgee St,
Muskogee, OK 74401-4648
(918) 683-1238
(918) 683-1239

Map and Direction




Physician's Profile

Full NameDr Charles Berry Fullenwider
GenderMale
SpecialityNeurosurgery
Experience46 Years
Location4318 W Okmulgee St, Muskogee, Oklahoma
Accepts Medicare AssignmentsYes. 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 Charles Berry Fullenwider attended and graduated from University Of Oklahoma College Of Medicine in 1978
  NPI Data:
  • NPI Number: 1447245063
  • Provider Enumeration Date: 09/20/2005
  • Last Update Date: 05/01/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7810181971
  • Enrollment ID: I20101102001163

Medical Identifiers

Medical identifiers for Dr Charles Berry Fullenwider such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447245063NPI-NPPES
100100060AMedicaidOK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207T00000XNeurological Surgery 12300 (Oklahoma)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Saint Francis Hospital MuskogeeMuskogee, OKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Warren Clinic Inc8820900293607

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 Charles Berry Fullenwider allows following entities to bill medicare on his behalf.
Entity NameWarren Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174582282
PECOS PAC ID: 8820900293
Enrollment ID: O20031104000252
Entity NameCns Surgery Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396803060
PECOS PAC ID: 8921292087
Enrollment ID: O20101102001141

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 Charles Berry Fullenwider 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
Dr Charles Berry Fullenwider, MD
6600 S Yale Ave Ste 1400,
Tulsa, OK 74136-3331

Ph: () -		Dr Charles Berry Fullenwider, MD
4318 W Okmulgee St,
Muskogee, OK 74401-4648

Ph: (918) 683-1238

Reviews and Comments


Neurological Surgery Doctors in Muskogee, OK


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.