Dr Keith Lyle Fuller, DO | |
2214 Gateway Dr, Suite C, Opelika, AL 36801-1500 | |
(334) 741-0075 | |
(334) 741-4075 |
Full Name | Dr Keith Lyle Fuller |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 32 Years |
Location | 2214 Gateway Dr, Opelika, Alabama |
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 |
---|---|---|---|
1730125527 | NPI | - | NPPES |
DO350 | Other | AL | MEDICAL LICENSE |
000026574 | Medicaid | AL | |
51026574 | Other | AL | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | DO350 (Alabama) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Southeast Hospice Network, Llc | Jasper, AL | Hospice |
Southerncare New Beacon N. Birmingham | Trussville, AL | Hospice |
Gentiva Hospice - Phenix City | Phenix city, AL | Hospice |
East Alabama Medical Center And Snf | Opelika, AL | Hospital |
University Of Alabama Hospital | Birmingham, AL | Hospital |
Jack Hughston Memorial Hospital | Phenix city, AL | Hospital |
Arbor Springs Health And Rehab Center, Ltd | Opelika, AL | Nursing home |
Parkwood Health Care Facility | Phenix city, AL | Nursing home |
Oak Park | Auburn, AL | Nursing home |
Entity Name | East Alabama Family Practice, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386719193 PECOS PAC ID: 3173584976 Enrollment ID: O20041025000925 |
Mailing Address | Practice Location Address |
---|---|
Dr Keith Lyle Fuller, DO 2214 Gateway Dr, Suite C, Opelika, AL 36801-1500 Ph: (334) 741-0075 | Dr Keith Lyle Fuller, DO 2214 Gateway Dr, Suite C, Opelika, AL 36801-1500 Ph: (334) 741-0075 |
Martin G Roach, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7667 Al Highway 51 Ste B, Opelika, AL 36804 Phone: 334-737-5557 Fax: 334-727-5646 | |
Mrs. Priya Patel, RN, BSN, FNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2000 Pepperell Pkwy, 2nd Floor (pain Clinic), Opelika, AL 36801 Phone: 334-528-2400 Fax: 334-528-2495 | |
Dr. William Biggers Whatley Iii, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 122 N 20th St, Building 24, Opelika, AL 36801 Phone: 334-745-4646 Fax: 334-745-0633 | |
Dr. Sunil Kumar Sharma, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 24th St, Opelika, AL 36801 Phone: 334-610-2222 | |
Mr. Arin Michael Mccarty, FNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7667 Al Highway 51 Ste B, Opelika, AL 36804 Phone: 334-737-5557 | |
Dr. John Reed Cooper, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 122 N 20th St Bldg 24, Opelika, AL 36801 Phone: 334-745-4646 Fax: 334-745-0633 | |
Caroline Poe, CRNP Family Medicine Medicare: Medicare Enrolled Practice Location: 121 N 20th St Ste 2, Opelika, AL 36801 Phone: 334-528-2404 |