Dr Shandi Joycelyn Fuller, MD in Berkeley, CA

Dr Shandi Joycelyn Fuller, MD is a medicare enrolled "Pediatrics" physician in Berkeley, California. Her current practice location is 1918 Bonita Ave Ste 200, Berkeley, California. You can reach out to her office (for appointments etc.) via phone at (510) 939-1300.

Dr Shandi Joycelyn Fuller is licensed to practice in California (license number A117119) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1225285034.

Contact Information

	Dr Shandi Joycelyn Fuller, MD
	1918 Bonita Ave Ste 200, Berkeley, CA 94704-1014
	(510) 939-1300
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Shandi Joycelyn Fuller
Gender	Female
Speciality	Pediatrics
Location	1918 Bonita Ave Ste 200, Berkeley, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225285034
Provider Enumeration Date: 08/22/2008
Last Update Date: 06/14/2022

Medicare PECOS Information:

PECOS PAC ID: 7012074339
Enrollment ID: I20170731003570

Medical Identifiers

Medical identifiers for Dr Shandi Joycelyn Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225285034	NPI	-	NPPES
97347	Other	NC	CERTIFICATION
A117119	Other	CA	LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A117119 (California)	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 Shandi Joycelyn 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 Shandi Joycelyn Fuller, MD 1918 Bonita Ave Ste 200, Berkeley, CA 94704-1014 Ph: (105) 939-1300	Dr Shandi Joycelyn Fuller, MD 1918 Bonita Ave Ste 200, Berkeley, CA 94704-1014 Ph: (510) 939-1300

Reviews and Comments

Pediatrics Doctors in Berkeley, CA

Dr. Miriam Dearborn Budinger, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 966 Euclid Ave, Berkeley, CA 94708 Phone: 510-527-5623
Dr. Jaleh Niazi, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 900 Colusa Ave Ste 204, Berkeley, CA 94707 Phone: 510-465-4445
Lisa S Kalar, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1650 Walnut St, Berkeley, CA 94709 Phone: 510-848-2566
Jennifer A Miller, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2999 Regent St Ste 325, Berkeley, CA 94705 Phone: 925-438-1110 Fax: 510-841-5650
Gilbert Duritz, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 36 El Camino Real, Berkeley, CA 94705 Phone: 510-848-4581
Olivia Lang, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1650 Walnut St, Berkeley, CA 94709 Phone: 510-848-2566
Petra Froehlich Landman, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2500 Milvia St, Berkeley, CA 94704 Phone: 510-204-5600 Fax: 510-204-5462

Dr Shandi Joycelyn Fuller, MD - Medicare Pediatrics in Berkeley, CA