Dr Timothy Richard Fullam, MD in Jbsa Ft Sam Houston, TX

Dr Timothy Richard Fullam, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Jbsa Ft Sam Houston, Texas. His current practice location is 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, Texas. You can reach out to his office (for appointments etc.) via phone at (210) 916-2203.

Dr Timothy Richard Fullam is licensed to practice in Texas (license number T1068) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1952720104.

Contact Information

	Dr Timothy Richard Fullam, MD
	3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504
	(210) 916-2203
	(210) 916-2203

Map and Direction

Physician's Profile

Full Name	Dr Timothy Richard Fullam
Gender	Male
Speciality	Psychiatry & Neurology - Neurology
Location	3551 Roger Brooke Dr, Jbsa Ft Sam Houston, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952720104
Provider Enumeration Date: 04/15/2014
Last Update Date: 07/18/2022

Medicare PECOS Information:

PECOS PAC ID: 9830488691
Enrollment ID: I20210913002907

Medical Identifiers

Medical identifiers for Dr Timothy Richard Fullam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952720104	NPI	-	NPPES
19552780104	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084N0008X	Psychiatry & Neurology - Neuromuscular Medicine	T1068 (Texas)	Secondary
208D00000X	General Practice	28833 (Nebraska)	Secondary
2084N0400X	Psychiatry & Neurology - Neurology	T1068 (Texas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Timothy Richard Fullam allows following entities to bill medicare on his behalf.

Entity Name	University Of Texas Health Science Center At San Antonio
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720051717 PECOS PAC ID: 0042128548 Enrollment ID: O20040607000664

Entity Name	Carepoint Inpatient Blue Sky Neurology - Texas, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952908725 PECOS PAC ID: 1557776036 Enrollment ID: O20210215001018

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 Timothy Richard Fullam 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 Timothy Richard Fullam, MD 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 Ph: (210) 916-2203	Dr Timothy Richard Fullam, MD 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 Ph: (210) 916-2203

Reviews and Comments

Psychiatry & Neurology Doctors in Jbsa Ft Sam Houston, TX

Dr. Roberto J Sartori, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Brooke Army Medical Center, Jbsa Ft Sam Houston, TX 78234 Phone: 210-916-0901 Fax: 210-916-2100
Dr. Johanna Marie Brueckner, D.O. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-808-2584
Dr. William Robert Hoffman, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-292-5077 Fax: 210-292-7868
Dr. David Matthew Keller, M.S., D.O. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Quality Services/ Attn: Mche-zqq, Jbsa Ft Sam Houston, TX 78234 Phone: 210-916-2338
Dr. Yenwen Chao, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-916-2203
Dr. Todd Keith Magro, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 726-228-0297 Fax: 210-539-9400
Tyler Koehn, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-539-9582

Dr Timothy Richard Fullam, MD - Medicare Psychiatry & Neurology in Jbsa Ft Sam Houston, TX