Dr Clark Beeman Fuller, MD | |
8635 W 3rd St, Suite 975w, Los Angeles, CA 90048-6101 | |
(310) 652-0530 | |
(310) 652-9936 |
Full Name | Dr Clark Beeman Fuller |
---|---|
Gender | Male |
Speciality | Thoracic Surgery |
Experience | 37 Years |
Location | 8635 W 3rd St, Los Angeles, California |
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 |
---|---|---|---|
1790890341 | NPI | - | NPPES |
GR0091070 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | G76647 (California) | Primary |
174400000X | Specialist | G76647 (California) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Cedars-sinai Medical Center | Los angeles, CA | Hospital |
Torrance Memorial Medical Center | Torrance, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cedars-sinai Medical Center | 0446169114 | 651 |
Cedars-sinai Medical Care Foundation | 0941106645 | 1208 |
Entity Name | Cedars-sinai Medical Care Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316984388 PECOS PAC ID: 0941106645 Enrollment ID: O20040202000464 |
Entity Name | Cedars-sinai Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639172372 PECOS PAC ID: 0446169114 Enrollment ID: O20040204000886 |
Entity Name | Torrance Memorial Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477502797 PECOS PAC ID: 9638087703 Enrollment ID: O20040315000284 |
Mailing Address | Practice Location Address |
---|---|
Dr Clark Beeman Fuller, MD 8635 W 3rd St, Suite 975w, Los Angeles, CA 90048-6101 Ph: (310) 652-0530 | Dr Clark Beeman Fuller, MD 8635 W 3rd St, Suite 975w, Los Angeles, CA 90048-6101 Ph: (310) 652-0530 |
Asher Weisberg, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 127 S San Vicente Blvd Ste A3100, Los Angeles, CA 90048 Phone: 310-423-3851 Fax: 310-423-0127 | |
Dr. Jack Sun, MD, MSC Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1520 San Pablo St, Los Angeles, CA 90033 Phone: 323-442-5907 | |
Dr. Sanjeet Girish Patel, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1520 San Pablo St Ste 4300, Los Angeles, CA 90033 Phone: 323-442-5849 | |
Dr. Wen Cheng, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 8700 Beverly Blvd, Los Angeles, CA 90048 Phone: 310-423-3851 Fax: 310-423-0127 | |
Thomas A. Pfeffer, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 4733 W Sunset Blvd, Los Angeles, CA 90027 Phone: 323-783-4011 | |
Dr. Jonathan Aaron Praeger, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1520 San Pablo St Ste 4300, Los Angeles, CA 90033 Phone: 323-442-5849 | |
Dr. Luke Mckee Wiggins, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 4650 W Sunset Blvd # Ms 66, Los Angeles, CA 90027 Phone: 323-361-5595 |