Nathanael John-caleb Fuller, MD in San Diego, CA

Nathanael John-caleb Fuller, MD is a medicare enrolled "Anesthesiology" physician in San Diego, California. His current practice location is 200 W Arbor Dr, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (619) 543-6222.

Nathanael John-caleb Fuller is licensed to practice in California (license number A178996) 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 1033678081.

Contact Information

	Nathanael John-caleb Fuller, MD
	200 W Arbor Dr, San Diego, CA 92103-9000
	(619) 543-6222
	Not Available

Map and Direction

Physician's Profile

Full Name	Nathanael John-caleb Fuller
Gender	Male
Speciality	Anesthesiology
Location	200 W Arbor Dr, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033678081
Provider Enumeration Date: 03/19/2019
Last Update Date: 10/27/2023

Medicare PECOS Information:

PECOS PAC ID: 7517310220
Enrollment ID: I20240130001201

Medical Identifiers

Medical identifiers for Nathanael John-caleb Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033678081	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	A178996 (California)	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. Nathanael John-caleb Fuller allows following entities to bill medicare on his behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Nathanael John-caleb 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
Nathanael John-caleb Fuller, MD 402 Dickinson St, Mpf Building, Mail Code 0801, San Diego, CA 92103-6902 Ph: () -	Nathanael John-caleb Fuller, MD 200 W Arbor Dr, San Diego, CA 92103-9000 Ph: (619) 543-6222

Reviews and Comments

Anesthesiology Doctors in San Diego, CA

Shawn Raveenth Vedamani, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 Fax: 888-539-8781
Michael Conrad Weber, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 34800 Bob Wilson Drive, San Diego, CA 92134 Phone: 619-532-6471
Susanna Byrne, D.O. Anesthesiology Medicare: Medicare Enrolled Practice Location: 34800 Bob Wilson Dr, San Diego, CA 92134 Phone: 619-532-6400
Dr. Paige Tsuda, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273
Thomas J. Pietuch, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3626 Ruffin Rd, San Diego, CA 92123 Phone: 858-565-9666 Fax: 858-565-9441
Dr. Ching-rong Cheng, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: Ucsd Medical Center, 200 West Arbor Drive Mc 0801, San Diego, CA 92103 Phone: 619-543-5720
Dr. Jeffrey Koji Sakihara, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3626 Ruffin Rd, San Diego, CA 92123 Phone: 858-565-9666 Fax: 858-565-9441

Nathanael John-caleb Fuller, MD - Medicare Anesthesiology in San Diego, CA