Mr Michael Keen Fullar, MD in New York, NY

Mr Michael Keen Fullar, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in New York, New York. He graduated from medical school in 2003 and has 22 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Permanente Medical Group Inc and his current practice location is Beth Israel Medical Center, 1st Ave And 16th St, New York, New York. You can reach out to his office (for appointments etc.) via phone at (212) 844-1543.

Mr Michael Keen Fullar is licensed to practice in New York (license number 241619-1) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1487711966.

Contact Information

	Mr Michael Keen Fullar, MD
	Beth Israel Medical Center, 1st Ave And 16th St, New York, NY 10003
	(212) 844-1543
	Not Available

Map and Direction

Physician's Profile

Full Name	Mr Michael Keen Fullar
Gender	Male
Speciality	Psychiatry
Experience	22 Years
Location	Beth Israel Medical Center, New York, New York
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Michael Keen Fullar graduated from medical school in 2003

NPI Data:

NPI Number: 1487711966
Provider Enumeration Date: 01/03/2007
Last Update Date: 12/20/2021

Medicare PECOS Information:

PECOS PAC ID: 3971734351
Enrollment ID: I20160419002340

Medical Identifiers

Medical identifiers for Mr Michael Keen Fullar such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487711966	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	241619-1 (New York)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Permanente Medical Group Inc	8921910225	8376

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. Mr Michael Keen Fullar allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Mr Michael Keen Fullar 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
Mr Michael Keen Fullar, MD 310 E 24th St Apt 2e, New York, NY 10010-4030 Ph: (646) 942-6162	Mr Michael Keen Fullar, MD Beth Israel Medical Center, 1st Ave And 16th St, New York, NY 10003 Ph: (212) 844-1543

Reviews and Comments

Psychiatry & Neurology Doctors in New York, NY

Dr. Jahannaz Dastgir, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 710 W 168th St, New York, NY 10032 Phone: 646-426-3876 Fax: 212-342-6865
Dr. Lawrence S, Kegeles, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1051 Riverside Drive, Unit 31, New York, NY 10032 Phone: 212-543-5497 Fax: 212-568-6171
Dr. Risa Ribakove, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 135 E 12th St, Second Floor, New York, NY 10003 Phone: 212-229-1671
Dr. Laura Raquel Sirulnik, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 15 W 63rd St Apt 33a, New York, NY 10023 Phone: 646-258-8535
Dr. Amanda Moberg Wilson, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 21 W 86th St, Suite 209, New York, NY 10024 Phone: 917-715-2886
Dr. Jose Dtm Gutierrez, MD, MPH Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 710 W 168th St, 6th Floor, New York, NY 10032 Phone: 212-305-8389
Nathaniel Mendelsohn, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 950 Park Ave, New York, NY 10028 Phone: 646-389-1447

Mr Michael Keen Fullar, MD - Medicare Psychiatry in New York, NY