Mr Timothy Louis Fuller, DO in Greeneville, TN

Mr Timothy Louis Fuller, DO is a medicare enrolled "Pediatrics" physician in Greeneville, Tennessee. His current practice location is 428 East Vann Road, Greeneville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 278-1950.

Mr Timothy Louis Fuller is licensed to practice in Tennessee (license number 1343) 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 1497822845.

Contact Information

	Mr Timothy Louis Fuller, DO
	428 East Vann Road, Greeneville, TN 37743-7202
	(423) 278-1950
	(423) 278-1973

Map and Direction

Physician's Profile

Full Name	Mr Timothy Louis Fuller
Gender	Male
Speciality	Pediatrics
Location	428 East Vann Road, Greeneville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497822845
Provider Enumeration Date: 11/29/2006
Last Update Date: 02/03/2014

Medicare PECOS Information:

PECOS PAC ID: 4385676337
Enrollment ID: I20171011002632

Medical Identifiers

Medical identifiers for Mr Timothy Louis Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497822845	NPI	-	NPPES
4121421	Other	TN	BCBST
TN01Q1	Other	TN	JD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	1343 (Tennessee)	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. Mr Timothy Louis Fuller allows following entities to bill medicare on his behalf.

Entity Name	Blue Ridge Medical Management Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144380833 PECOS PAC ID: 9739099441 Enrollment ID: O20031204000996

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 Timothy Louis 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
Mr Timothy Louis Fuller, DO Po Box 15004, Knoxville, TN 37901 Ph: (865) 522-9730	Mr Timothy Louis Fuller, DO 428 East Vann Road, Greeneville, TN 37743-7202 Ph: (423) 278-1950

Reviews and Comments

Pediatrics Doctors in Greeneville, TN

Mrs. Kelsey Jean Little, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 221 N Main St, Greeneville, TN 37745 Phone: 423-787-6050 Fax: 423-787-6054
Dr. Justin Alan Jones, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 428 E Vann Rd, Greeneville, TN 37743 Phone: 423-278-1950
Todd William Aiken, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 428 E Vann Rd, Greeneville, TN 37743 Phone: 423-278-0950 Fax: 423-278-1973
Dr. John Applegate, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 428 E Vann Rd, Greeneville, TN 37743 Phone: 423-278-1950 Fax: 423-278-1973
Douglas Catron Cobble, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 221 N Main St, Greeneville, TN 37745 Phone: 423-787-6050 Fax: 423-787-6054
Ms. Kimberly R Fisher, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 221 N Main St, Greeneville, TN 37745 Phone: 423-787-6050 Fax: 423-787-6054

Mr Timothy Louis Fuller, DO - Medicare Pediatrics in Greeneville, TN