Rollin William Fuller, MD - Medicare Emergency Medicine in Bloomington, MN

  1. Home
  2. Emergency Medicine
  3. MN
  4. Bloomington
Rollin William Fuller, MD is a medicare enrolled "Emergency Medicine" physician in Bloomington, Minnesota. His current practice location is 4300 Marketpointe Dr Ste 100, Bloomington, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 835-9880.

Rollin William Fuller is licensed to practice in Georgia (license number 65968) 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 1871548073.

Contact Information

Rollin William Fuller, MD
4300 Marketpointe Dr Ste 100,
Bloomington, MN 55435
(952) 835-9880
(952) 857-1554

Map and Direction




Physician's Profile

Full NameRollin William Fuller
GenderMale
SpecialityEmergency Medicine
Location4300 Marketpointe Dr Ste 100, Bloomington, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1871548073
  • Provider Enumeration Date: 05/24/2006
  • Last Update Date: 07/24/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2163480294
  • Enrollment ID: I20110526000572

Medical Identifiers

Medical identifiers for Rollin William Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871548073NPI-NPPES
1255EOtherNCBCBSNC
891255EMedicaidNC
930092980OtherNCRR MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 48275 (Minnesota)Secondary
207P00000XEmergency Medicine 0099-00501 (North Carolina)Secondary
207P00000XEmergency Medicine 65968 (Georgia)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. Rollin William Fuller allows following entities to bill medicare on his behalf.
Entity NameAcs Primary Care Physicians - Southeast Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861430555
PECOS PAC ID: 5193620714
Enrollment ID: O20040901000766
Entity NameThe Bortolazzo Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801965082
PECOS PAC ID: 3476554320
Enrollment ID: O20070122000015
Entity NameNorth Fulton Emergency Physicians, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053456954
PECOS PAC ID: 6800981986
Enrollment ID: O20071004000272
Entity NameCoweta Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245556588
PECOS PAC ID: 5395876452
Enrollment ID: O20100706000634
Entity NameAllatoona Emergency Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487381349
PECOS PAC ID: 2567847684
Enrollment ID: O20220909001871

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. Rollin William 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 AddressPractice Location Address
Rollin William Fuller, MD
4300 Marketpointe Dr Ste 100,
Bloomington, MN 55435-5435

Ph: (952) 835-9880		Rollin William Fuller, MD
4300 Marketpointe Dr Ste 100,
Bloomington, MN 55435

Ph: (952) 835-9880

Reviews and Comments


Emergency Medicine Doctors in Bloomington, MN

Rebecca Lynn Meyer, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 4300 Marketpointe Dr Ste 100, Bloomington, MN 55435
Phone: 952-835-9880    
Dr. Holly Lynn Schrupp Berg, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4300 Marketpointe Dr Ste 100, Bloomington, MN 55435
Phone: 952-835-9880    Fax: 952-857-1554
Andrew H Bauer, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4300 Marketpointe Dr Ste 100, Bloomington, MN 55435
Phone: 952-835-9880    Fax: 952-857-1554
Laura Kuhlman,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4300 Marketpointe Dr Ste 100, Bloomington, MN 55435
Phone: 952-835-9880    
Elisabeth Marycke Vreede Greenberg,
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 4300 Marketpointe Dr Ste 100, Bloomington, MN 55435
Phone: 952-835-9880    Fax: 952-857-1554
Leonardo A Saavedra, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4300 Marketpointe Dr Ste 100, Bloomington, MN 55435
Phone: 952-835-9880    Fax: 952-857-1554
Dr. Tanner Leroy, DO
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 4300 Marketpointe Dr Ste 100, Bloomington, MN 55435
Phone: 952-835-9880    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.