Lanisha Denise Fuller, MD in Hollywood, FL

Lanisha Denise Fuller, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Hollywood, Florida. Her current practice location is 3501 Johnson St, Hollywood, Florida. You can reach out to her office (for appointments etc.) via phone at (954) 987-2000.

Lanisha Denise Fuller is licensed to practice in Florida (license number ME159488) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1447747324.

Contact Information

	Lanisha Denise Fuller, MD
	3501 Johnson St, Hollywood, FL 33021-5421
	(954) 987-2000
	Not Available

Map and Direction

Physician's Profile

Full Name	Lanisha Denise Fuller
Gender	Female
Speciality	Pathology - Anatomic Pathology & Clinical Pathology
Location	3501 Johnson St, Hollywood, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447747324
Provider Enumeration Date: 04/17/2018
Last Update Date: 08/14/2023

Medicare PECOS Information:

PECOS PAC ID: 2769845726
Enrollment ID: I20230824001381

Medical Identifiers

Medical identifiers for Lanisha Denise Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447747324	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	ME159488 (Florida)	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. Lanisha Denise Fuller allows following entities to bill medicare on her behalf.

Entity Name	Pathology Consultants Of South Broward, Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922089242 PECOS PAC ID: 1557267473 Enrollment ID: O20031211000208

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. Lanisha Denise 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
Lanisha Denise Fuller, MD 3501 Johnson St, Hollywood, FL 33021-5421 Ph: (954) 987-2000	Lanisha Denise Fuller, MD 3501 Johnson St, Hollywood, FL 33021-5421 Ph: (954) 987-2000

Reviews and Comments

Pathology Doctors in Hollywood, FL

Dr. Mohammad Ali Lari, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 3501 Johnson St, Hollywood, FL 33021 Phone: 954-985-5921 Fax: 954-985-3471
Dr. Sherry Lou Woodhouse, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 3501 Johnson St, Hollywood, FL 33021 Phone: 954-985-5921 Fax: 954-985-3471
Igor Jovanovic, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 3501 Johnson St, Hollywood, FL 33021 Phone: 954-987-2000
Dr. Jack Victor Chaney, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 3501 Johnson St, Hollywood, FL 33021 Phone: 954-985-5921 Fax: 954-985-3471
Dr. Christina Lynne Dean, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 3501 Johnson St, Hollywood, FL 33021 Phone: 954-987-2000
Dr. Souhad B Younes, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 3501 Johnson St, Hollywood, FL 33021 Phone: 954-987-2020 Fax: 954-965-6472
Gerald Reis, Pathology Medicare: Accepting Medicare Assignments Practice Location: 3501 Johnson St, Room 2-281m, Hollywood, FL 33021 Phone: 954-265-2333

Lanisha Denise Fuller, MD - Medicare Pathology in Hollywood, FL