Jeffrey D Fullman, MD in Tualatin, OR - Medicare Internal Medicine

Jeffrey D Fullman, MD is a medicare enrolled "Internal Medicine" physician in Tualatin, Oregon. His current practice location is 19250 Sw 65th Ave, Ste 110, Tualatin, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 692-1205.

Jeffrey D Fullman is licensed to practice in Oregon (license number MD13393) 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 1932178951.

Contact Information

	Jeffrey D Fullman, MD
	19250 Sw 65th Ave, Ste 110, Tualatin, OR 97062-7452
	(503) 692-1205
	(503) 692-1207

Map and Direction

Physician's Profile

Full Name	Jeffrey D Fullman
Gender	Male
Speciality	Internal Medicine
Location	19250 Sw 65th Ave, Tualatin, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932178951
Provider Enumeration Date: 03/14/2006
Last Update Date: 07/19/2010

Medicare PECOS Information:

PECOS PAC ID: 7911920053
Enrollment ID: I20100325000608

Medical Identifiers

Medical identifiers for Jeffrey D Fullman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932178951	NPI	-	NPPES
282301	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MD13393 (Oregon)	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. Jeffrey D Fullman allows following entities to bill medicare on his behalf.

Entity Name	Cascade Physicians Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982672184 PECOS PAC ID: 0446148076 Enrollment ID: O20040305001042

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. Jeffrey D Fullman 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
Jeffrey D Fullman, MD 1411 Sw Morrison St, Ste 200, Portland, OR 97205-1945 Ph: (503) 242-9850	Jeffrey D Fullman, MD 19250 Sw 65th Ave, Ste 110, Tualatin, OR 97062-7452 Ph: (503) 692-1205

Reviews and Comments

Internal Medicine Doctors in Tualatin, OR

Jaymee E Delaney, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 19260 Sw 65th Ave, Ste 270, Tualatin, OR 97062 Phone: 503-352-0770
Jessica Kazue Haraga, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 19250 Sw 90th Ave, Tualatin, OR 97062 Phone: 503-692-3750 Fax: 503-691-2324
Dr. Benito G Pataroque, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6485 Sw Borland Rd, Suite D, Tualatin, OR 97062 Phone: 503-692-3647 Fax: 503-691-1670
Dr. Tammi Kaye Boston, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 19875 Sw 65th Ave, Suite 100, Tualatin, OR 97062 Phone: 503-692-7785 Fax: 503-885-1663
Dr. William H Treuhaft, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 6485 Sw Borland Rd, Suite F, Tualatin, OR 97062 Phone: 503-413-3650 Fax: 503-413-3644
Dean Kyle Peterson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 19300 Sw 65th Ave, Tualatin, OR 97062 Phone: 503-413-8407 Fax: 503-413-6951
Dr. Mark Leo Mckinstry, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 19875 Sw 65th Ave, Tualatin, OR 97062 Phone: 503-692-7785 Fax: 503-885-1663

Jeffrey D Fullman, MD - Medicare Internal Medicine in Tualatin, OR