Dr Corey Brandon Fuller, MD - Medicare Orthopaedic Surgery in Loma Linda, CA

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Dr Corey Brandon Fuller, MD is a medicare enrolled "Orthopaedic Surgery - Sports Medicine" physician in Loma Linda, California. His current practice location is 25455 Barton Rd Ste 102b, Loma Linda, California. You can reach out to his office (for appointments etc.) via phone at (909) 558-6444.

Dr Corey Brandon Fuller is licensed to practice in California (license number A118405) 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 1053637694.

Contact Information

Dr Corey Brandon Fuller, MD
25455 Barton Rd Ste 102b,
Loma Linda, CA 92354-3139
(909) 558-6444
(909) 558-6118

Map and Direction




Physician's Profile

Full NameDr Corey Brandon Fuller
GenderMale
SpecialityOrthopaedic Surgery - Sports Medicine
Location25455 Barton Rd Ste 102b, Loma Linda, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053637694
  • Provider Enumeration Date: 04/07/2010
  • Last Update Date: 05/30/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4385950930
  • Enrollment ID: I20150827002930

Medical Identifiers

Medical identifiers for Dr Corey Brandon Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053637694NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery A118405 (California)Secondary
207XX0005XOrthopaedic Surgery - Sports Medicine A118405 (California)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. Dr Corey Brandon Fuller allows following entities to bill medicare on his behalf.
Entity NameFaculty Physicians And Surgeons Of Llusm
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205009917
PECOS PAC ID: 1153227814
Enrollment ID: O20031211000981
Entity NameSac Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013935923
PECOS PAC ID: 4385533579
Enrollment ID: O20040315000608

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 Corey Brandon Fuller 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 Corey Brandon Fuller, MD
11406 Loma Linda Dr Ste 226,
Loma Linda, CA 92354-3711

Ph: (909) 558-6644		Dr Corey Brandon Fuller, MD
25455 Barton Rd Ste 102b,
Loma Linda, CA 92354-3139

Ph: (909) 558-6444

Reviews and Comments


Orthopaedic Surgery Doctors in Loma Linda, CA

Philip Henry Reiswig, M.D.
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 11201 Benton St, Loma Linda, CA 92357
Phone: 909-583-6073    
Parke William Hudson, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 11234 Anderson St, Loma Linda, CA 92354
Phone: 909-558-4000    
Dr. Gary D Botimer, MD
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 25455 Barton Rd, Ste 102b, Loma Linda, CA 92354
Phone: 909-558-2808    Fax: 909-558-5599
Allen Nedley, MD
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 11234 Anderson Street, Gme Office Westerly Suite 'c', Loma Linda, CA 92354
Phone: 909-558-6444    
Dr. Arthur Thiel, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 25455 Barton Rd, Ste 102b, Loma Linda, CA 92354
Phone: 909-558-2808    Fax: 909-558-5588
Gary Lewis Painter, M.D.
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 11354 Mountain View Ave Ste A, Loma Linda, CA 92354
Phone: 909-799-7171    Fax: 909-799-5959

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.