Kisti Pope Fuller, MD in Mesa, AZ - Medicare Pediatric Medicine

Kisti Pope Fuller, MD is a medicare enrolled "Obstetrics & Gynecology - Maternal & Fetal Medicine" physician in Mesa, Arizona. She graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Pediatric Medicine. She is a member of the group practice Intermountain Healthcare Services, Inc and her current practice location is 1840 S Stapley Dr Ste 131, Mesa, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 866-8787.

Kisti Pope Fuller is licensed to practice in Arizona (license number 48767) 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 1912165713.

Contact Information

	Kisti Pope Fuller, MD
	1840 S Stapley Dr Ste 131, Mesa, AZ 85204-6683
	(480) 866-8787
	(480) 863-9770

Map and Direction

Physician's Profile

Full Name	Kisti Pope Fuller
Gender	Female
Speciality	Pediatric Medicine
Experience	17 Years
Location	1840 S Stapley Dr Ste 131, Mesa, Arizona
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:

Kisti Pope Fuller graduated from medical school in 2007

NPI Data:

NPI Number: 1912165713
Provider Enumeration Date: 05/28/2008
Last Update Date: 04/02/2024

Medicare PECOS Information:

PECOS PAC ID: 7719152685
Enrollment ID: I20230830002256

Medical Identifiers

Medical identifiers for Kisti Pope Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912165713	NPI	-	NPPES
1912165713	Medicaid	CT
24641	Other	NV	STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207VM0101X	Obstetrics & Gynecology - Maternal & Fetal Medicine	24641 (Nevada)	Secondary
207VM0101X	Obstetrics & Gynecology - Maternal & Fetal Medicine	48767 (Arizona)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Intermountain Healthcare Services, Inc	1850209420	3228

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. Kisti Pope Fuller allows following entities to bill medicare on her behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303

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. Kisti Pope 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
Kisti Pope Fuller, MD 4343 N Scottsdale Rd Ste 150, Scottsdale, AZ 85251-3351 Ph: (480) 866-8787	Kisti Pope Fuller, MD 1840 S Stapley Dr Ste 131, Mesa, AZ 85204-6683 Ph: (480) 866-8787

Reviews and Comments

Obstetrics & Gynecology Doctors in Mesa, AZ

Mrs. Eericca Michelle Bickley, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4824 E Baseline Rd Ste 129, Mesa, AZ 85206 Phone: 480-644-1001 Fax: 480-644-1002
Gregory D Layton, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4824 E Baseline Rd Ste 129, Mesa, AZ 85206 Phone: 480-644-1001 Fax: 480-464-8722
Deanna Lynn Bullaro-anderer, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 5304 E Southern Ave, Ste 110, Mesa, AZ 85206 Phone: 480-237-3040 Fax: 480-237-3049
Andrew R Adamson, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 455 E 6th St, Mesa, AZ 85203 Phone: 480-844-4702
Tamar K Gottfried, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1520 S Dobson Rd, Suite 316, Mesa, AZ 85202 Phone: 480-545-0059 Fax: 480-632-2134
Marlin D. Mills, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1940 S Country Club Dr, Suite 102, Mesa, AZ 85210 Phone: 680-969-5999 Fax: 480-969-5610
Dr. Carlos Alberto Mendez, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1705 W Main St, Mesa, AZ 85201 Phone: 877-809-5092 Fax: 480-840-1758

Kisti Pope Fuller, MD - Medicare Pediatric Medicine in Mesa, AZ