Dr Elzer T Fuller Jr, MD is a medicare enrolled "General Practice" physician in London, Kentucky. His current practice location is
969 Laurel Cove Rd, London, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(606) 843-2548.
Dr Elzer T Fuller Jr is licensed to practice in Kentucky (license number 19010) 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 1013961986.
Physician's Profile
Full Name | Dr Elzer T Fuller Jr |
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Gender | Male |
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Speciality | General Practice |
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Location | 969 Laurel Cove Rd, London, Kentucky |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1013961986
- Provider Enumeration Date: 05/22/2006
- Last Update Date: 01/13/2014
Medicare PECOS Information:
- PECOS PAC ID: 7517912298
- Enrollment ID: I20050315000923
Medical Identifiers
Medical identifiers for Dr Elzer T Fuller Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013961986 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 19010 (Kentucky) | Primary |
207P00000X | Emergency Medicine | ME58598 (Florida) | Secondary |
207P00000X | Emergency Medicine | 19010 (Kentucky) | Secondary |
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 Elzer T Fuller Jr allows following entities to bill medicare on his behalf.
Entity Name | Ess Hospitalist Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1881967305 PECOS PAC ID: 6103085295 Enrollment ID: O20150904002395 |
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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 Elzer T Fuller Jr 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 Elzer T Fuller Jr, MD 969 Laurel Cove Rd, London, KY 40741-9024 Ph: (606) 843-2548 | Dr Elzer T Fuller Jr, MD 969 Laurel Cove Rd, London, KY 40741-9024 Ph: (606) 843-2548 |
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