Dr Sean Douglas Fuller, MD | |
7182 Woodrow St Ste 200, Irmo, SC 29063-2958 | |
(803) 749-1111 | |
(803) 749-0050 |
Full Name | Dr Sean Douglas Fuller |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 19 Years |
Location | 7182 Woodrow St Ste 200, Irmo, South Carolina |
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 |
---|---|---|---|
1063488054 | NPI | - | NPPES |
201445 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 20144 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lexington Medical Center | West columbia, SC | Hospital |
Prisma Health Baptist Parkridge | Columbia, SC | Hospital |
Prisma Health Baptist | Columbia, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
South Carolina Internal Medicine Associates And Rehabilitation,l.l.c. | 1759362072 | 25 |
Entity Name | South Carolina Internal Medicine Associates And Rehabilitation,l.l.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760483382 PECOS PAC ID: 1759362072 Enrollment ID: O20040525000145 |
Mailing Address | Practice Location Address |
---|---|
Dr Sean Douglas Fuller, MD 7182 Woodrow St Ste 200, Irmo, SC 29063-2832 Ph: (803) 749-1111 | Dr Sean Douglas Fuller, MD 7182 Woodrow St Ste 200, Irmo, SC 29063-2958 Ph: (803) 749-1111 |
Dianna Lyn Neal, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7182 Woodrow St Ste 200, Irmo, SC 29063 Phone: 803-749-1111 Fax: 803-749-0050 | |
Roman Peele Blount Iv, Family Medicine Medicare: Medicare Enrolled Practice Location: 1846 Dutch Fork Rd, Irmo, SC 29063 Phone: 803-781-5200 | |
Rachel L. Callis-wolfe, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1846 Dutch Fork Road, Irmo, SC 29063 Phone: 803-781-5200 Fax: 803-781-3843 | |
Dr. Michael L Nunnery, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1846 Dutch Fork Rd, Irmo, SC 29063 Phone: 803-781-5200 Fax: 803-781-3843 | |
Dr. Sarah Marie Schumacher, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 7430 College St, Irmo, SC 29063 Phone: 803-274-6263 Fax: 803-973-6636 | |
Dr. William J Fravel Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1846 Dutch Fork Rd, Irmo, SC 29063 Phone: 803-781-5200 Fax: 803-781-3843 |