Jennifer Carroll Fuller, in Loma Linda, CA

Jennifer Carroll Fuller, is a medicare enrolled "Otolaryngology - Otolaryngology/facial Plastic Surgery" physician in Loma Linda, California. She went to University Of California, Geffen School Of Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Otolaryngology. She is a member of the group practice Faculty Physicians And Surgeons Of Llusm and her current practice location is 11234 Anderson St # 2586a, Loma Linda, California. You can reach out to her office (for appointments etc.) via phone at (909) 558-7884.

Jennifer Carroll Fuller is licensed to practice in California (license number A160366) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1902149933.

Contact Information

	Jennifer Carroll Fuller,
	11234 Anderson St # 2586a, Loma Linda, CA 92354-2804
	(909) 558-7884
	Not Available

Map and Direction

Physician's Profile

Full Name	Jennifer Carroll Fuller
Gender	Female
Speciality	Otolaryngology
Experience	11 Years
Location	11234 Anderson St # 2586a, Loma Linda, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jennifer Carroll Fuller attended and graduated from University Of California, Geffen School Of Medicine in 2013

NPI Data:

NPI Number: 1902149933
Provider Enumeration Date: 03/27/2013
Last Update Date: 07/10/2019

Medicare PECOS Information:

PECOS PAC ID: 5991920811
Enrollment ID: I20190903001911

Medical Identifiers

Medical identifiers for Jennifer Carroll Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902149933	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	63479 (Minnesota)	Secondary
207YX0905X	Otolaryngology - Otolaryngology/facial Plastic Surgery	A160366 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Loma Linda University Medical Center	Loma linda, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Faculty Physicians And Surgeons Of Llusm	1153227814	1065

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. Jennifer Carroll Fuller allows following entities to bill medicare on her behalf.

Entity Name	Faculty Physicians And Surgeons Of Llusm
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981

Entity Name	Sac Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013935923 PECOS PAC ID: 4385533579 Enrollment ID: O20040315000608

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. Jennifer Carroll 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
Jennifer Carroll Fuller, 11234 Anderson St # 2586a, Loma Linda, CA 92354-2804 Ph: (909) 558-7884	Jennifer Carroll Fuller, 11234 Anderson St # 2586a, Loma Linda, CA 92354-2804 Ph: (909) 558-7884

Reviews and Comments

Otolaryngology Doctors in Loma Linda, CA

John Y Kim, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 11370 Anderson St, Suite 2100, Loma Linda, CA 92354 Phone: 909-558-2822
Vikrum Thimmappa, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-4000
Khanh K Nguyen, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-8558
Max Feng, Otolaryngology Medicare: Medicare Enrolled Practice Location: Loma Linda University Health Otolaryngology, 11234 Anderson Street, Loma Linda, CA 92354 Phone: 909-558-2600
Liyang Tang, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 11370 Anderson St, Loma Linda, CA 92354 Phone: 909-558-2822
Roy Wang Qu, Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-2600
Dr. Justin Daniel Mclarty, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St, Cp 21005, Loma Linda, CA 92354 Phone: 909-558-8131 Fax: 909-558-0430

Jennifer Carroll Fuller, - Medicare Otolaryngology in Loma Linda, CA