Justin Timothy Fuller, is a medicare enrolled "Pediatrics" physician in Martinsville, Indiana. His current practice location is
1949 Hospital Dr, Martinsville, Indiana. You can reach out to his office (for appointments etc.) via phone at
(765) 342-0539.
Justin Timothy Fuller is licensed to practice in Indiana (license number 01072688A) 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 1588955215.
Physician's Profile
Full Name | Justin Timothy Fuller |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 1949 Hospital Dr, Martinsville, Indiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1588955215
- Provider Enumeration Date: 04/28/2011
- Last Update Date: 12/04/2020
Medicare PECOS Information:
- PECOS PAC ID: 6709022536
- Enrollment ID: I20150430000471
Medical Identifiers
Medical identifiers for Justin Timothy Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588955215 | NPI | - | NPPES |
201098490 | Medicaid | IN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 01072688A (Indiana) | 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. Justin Timothy Fuller allows following entities to bill medicare on his behalf.
Entity Name | Iu Health Morgan Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1730424490 PECOS PAC ID: 2466699830 Enrollment ID: O20130503000164 |
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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. Justin Timothy 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 |
Justin Timothy Fuller, Po Box 1329, Bloomington, IN 47402-1329 Ph: (812) 353-3087 | Justin Timothy Fuller, 1949 Hospital Dr, Martinsville, IN 46151-1861 Ph: (765) 342-0539 |
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