Dr Mark Avery Fuller, MD is a medicare enrolled "Internal Medicine" physician in Bayfield, Wisconsin. His current practice location is
36745 Aiken Rd, Bayfield, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(715) 779-3707.
Dr Mark Avery Fuller is licensed to practice in Wisconsin (license number 1901-320) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1124055561.
Physician's Profile
| Full Name | Dr Mark Avery Fuller |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 36745 Aiken Rd, Bayfield, Wisconsin |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Mark Avery Fuller attended and graduated from in
NPI Data:
- NPI Number: 1124055561
- Provider Enumeration Date: 06/28/2006
- Last Update Date: 06/21/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Mark Avery Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124055561 | NPI | - | NPPES |
| 3536500 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208M00000X | Hospitalist | 4301093004 (Michigan) | Secondary |
| 207R00000X | Internal Medicine | 1901-320 (Wisconsin) | Primary |
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 Mark Avery 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 Address | Practice Location Address |
|---|
Dr Mark Avery Fuller, MD
638 Lake Ave,
Ironwood, MI 49938-1424
Ph: (906) 364-7105 | Dr Mark Avery Fuller, MD
36745 Aiken Rd,
Bayfield, WI 54814-4579
Ph: (715) 779-3707 |
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