John Fuller, MD | |
1000 E Cherry St, Troy, MO 63379-1513 | |
(636) 528-8551 | |
Not Available |
Full Name | John Fuller |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1000 E Cherry St, Troy, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093754574 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 112096 (Missouri) | Primary |
Entity Name | Mercy Hospital South |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568481984 PECOS PAC ID: 8426962556 Enrollment ID: O20031113000592 |
Entity Name | Southeastern Emergency Physicians Of Memphis Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437105277 PECOS PAC ID: 5395643209 Enrollment ID: O20060711000434 |
Entity Name | Bridgeton Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053660076 PECOS PAC ID: 5193978948 Enrollment ID: O20130104000140 |
Entity Name | Fenton Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770832792 PECOS PAC ID: 4789837923 Enrollment ID: O20130121000081 |
Entity Name | Cep America Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619332046 PECOS PAC ID: 6608056171 Enrollment ID: O20150312000325 |
Entity Name | Mercy Hospital Lincoln |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962808733 PECOS PAC ID: 5193040020 Enrollment ID: O20150623002541 |
Entity Name | Mercy Aco Clinical Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063965093 PECOS PAC ID: 6901188572 Enrollment ID: O20170117001888 |
Mailing Address | Practice 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 |
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 |