Dr William Tyler Fuller, MD in Jackson, MS - Medicare Internal Medicine

Dr William Tyler Fuller, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Jackson, Mississippi. His current practice location is 971 Lakeland Dr Ste 1052, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 981-9503.

Dr William Tyler Fuller is licensed to practice in Mississippi (license number 29088) 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 1205323177.

Contact Information

	Dr William Tyler Fuller, MD
	971 Lakeland Dr Ste 1052, Jackson, MS 39216-4609
	(601) 981-9503
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr William Tyler Fuller
Gender	Male
Speciality	Internal Medicine - Pulmonary Disease
Location	971 Lakeland Dr Ste 1052, Jackson, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205323177
Provider Enumeration Date: 04/17/2018
Last Update Date: 07/24/2024

Medicare PECOS Information:

PECOS PAC ID: 6406199405
Enrollment ID: I20221027002851

Medical Identifiers

Medical identifiers for Dr William Tyler Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205323177	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	T-3564 (Mississippi)	Secondary
207RC0200X	Internal Medicine - Critical Care Medicine	29088 (Mississippi)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	29088 (Mississippi)	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 William Tyler Fuller allows following entities to bill medicare on his behalf.

Entity Name	Jackson Pulmonary Associates, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174570584 PECOS PAC ID: 7517934292 Enrollment ID: O20040913000766

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 William Tyler 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 William Tyler Fuller, MD 971 Lakeland Dr Ste 1052, Jackson, MS 39216-4609 Ph: (601) 981-9503	Dr William Tyler Fuller, MD 971 Lakeland Dr Ste 1052, Jackson, MS 39216-4609 Ph: (601) 981-9503

Reviews and Comments

Internal Medicine Doctors in Jackson, MS

Graves Crawley Stubblefield Jr., M.D. Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 406 Briarwood Dr, Jackson, MS 39206 Phone: 601-991-1933 Fax: 601-978-3844
Dr. Rebecca Chick Pace, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1200 N State St, Suite 500, Jackson, MS 39202 Phone: 601-352-2273 Fax: 601-714-3415
Jewelian Akbar Baig, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 971 Lakeland Dr Ste 356, Jackson, MS 39216 Phone: 601-200-4644 Fax: 601-200-4645
Jo P Deal, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 766 Lakeland Dr # A, Jackson, MS 39216 Phone: 601-368-3440 Fax: 601-368-3441
Samuel Hammond Love, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 970 Lakeland Dr Ste 40, Jackson, MS 39216 Phone: 601-200-4850 Fax: 601-200-4838
Meghan Alford Luter, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5532
Dr. Taylor Brooke Winstead, MD, PHARMD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000

Dr William Tyler Fuller, MD - Medicare Internal Medicine in Jackson, MS