John Fuller, MD - Medicare Emergency Medicine in Troy, MO

John Fuller, MD is a medicare enrolled "Emergency Medicine" physician in Troy, Missouri. His current practice location is 1000 E Cherry St, Troy, Missouri. You can reach out to his office (for appointments etc.) via phone at (636) 528-8551.

John Fuller is licensed to practice in Missouri (license number 112096) 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 1093754574.

Contact Information

John Fuller, MD
1000 E Cherry St,
Troy, MO 63379-1513
(636) 528-8551
Not Available

Map and Direction




Physician's Profile

Full NameJohn Fuller
GenderMale
SpecialityEmergency Medicine
Location1000 E Cherry St, Troy, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093754574
  • Provider Enumeration Date: 06/06/2006
  • Last Update Date: 04/07/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3476655929
  • Enrollment ID: I20070301000270

Medical Identifiers

Medical identifiers for John Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093754574NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 112096 (Missouri)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. John Fuller allows following entities to bill medicare on his behalf.
Entity NameMercy Hospital South
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568481984
PECOS PAC ID: 8426962556
Enrollment ID: O20031113000592
Entity NameSoutheastern Emergency Physicians Of Memphis Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437105277
PECOS PAC ID: 5395643209
Enrollment ID: O20060711000434
Entity NameBridgeton Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053660076
PECOS PAC ID: 5193978948
Enrollment ID: O20130104000140
Entity NameFenton Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770832792
PECOS PAC ID: 4789837923
Enrollment ID: O20130121000081
Entity NameCep America Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619332046
PECOS PAC ID: 6608056171
Enrollment ID: O20150312000325
Entity NameMercy Hospital Lincoln
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962808733
PECOS PAC ID: 5193040020
Enrollment ID: O20150623002541
Entity NameMercy Aco Clinical Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063965093
PECOS PAC ID: 6901188572
Enrollment ID: O20170117001888

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. John 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 AddressPractice Location Address
John Fuller, MD
10010 Kennerly Rd,
Saint Louis, MO 63128-2106

Ph: (314) 525-1900
John Fuller, MD
1000 E Cherry St,
Troy, MO 63379-1513

Ph: (636) 528-8551

Reviews and Comments


Emergency Medicine Doctors in Troy, MO

Timothy Mccullough, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1000 E Cherry St, Troy, MO 63379
Phone: 636-528-3221    
Pamela Westerling, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 230 Tompkins Court, Troy, MO 63379
Phone: 708-422-4221    Fax: 708-422-4415

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.