Dr Jason Matthew Fuller, MD | |
101 E Wood St, Spartanburg, SC 29303-3040 | |
(864) 560-6000 | |
Not Available |
Full Name | Dr Jason Matthew Fuller |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 101 E Wood St, Spartanburg, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710565643 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MD91373 (South Carolina) | Primary |
Entity Name | Spartanburg Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699729939 PECOS PAC ID: 3072425297 Enrollment ID: O20040702000686 |
Entity Name | Pelham Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619133568 PECOS PAC ID: 2365519097 Enrollment ID: O20080923000329 |
Mailing Address | Practice Location Address |
---|---|
Dr Jason Matthew Fuller, MD 3405 Conductor Cir, Greer, SC 29651-4496 Ph: (214) 436-7094 | Dr Jason Matthew Fuller, MD 101 E Wood St, Spartanburg, SC 29303-3040 Ph: (864) 560-6000 |
Stephanie Anja Taft, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 218 E Blackstock Rd, Spartanburg, SC 29301 Phone: 864-576-8646 | |
Dr. Erica Lynn Hudson, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-6000 | |
Dr. John Falcon, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-4123 | |
Rosanna Patrice Couture, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-7025 | |
Benjamin David Theobald, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-7025 Fax: 864-560-7388 | |
Kristin Demosthenes Rowland, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-6000 | |
Brandon Keith Wyss, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-7025 Fax: 864-560-7388 |