Phillip Tyler Fuller, MD is a medicare enrolled "Urology" physician in Ada, Oklahoma. His current practice location is
1414 Arlington Street, Suite 2300, Ada, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(580) 332-0112.
Phillip Tyler Fuller is licensed to practice in Oklahoma (license number 30483) 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 1871720300.
Physician's Profile
Full Name | Phillip Tyler Fuller |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 1414 Arlington Street, Ada, Oklahoma |
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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:
- Phillip Tyler Fuller attended and graduated from in
NPI Data:
- NPI Number: 1871720300
- Provider Enumeration Date: 06/11/2009
- Last Update Date: 06/25/2014
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Phillip Tyler Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871720300 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208800000X | Urology | 30483 (Oklahoma) | Primary |
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. Phillip Tyler 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 |
Phillip Tyler Fuller, MD 1414 Arlington Street, Suite 2300, Ada, OK 74820 Ph: (580) 332-0112 | Phillip Tyler Fuller, MD 1414 Arlington Street, Suite 2300, Ada, OK 74820 Ph: (580) 332-0112 |
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