Scott R Fuller, DO | |
1320 Mercy Dr Nw, Canton, OH 44708-2614 | |
(330) 489-1000 | |
Not Available |
Full Name | Scott R Fuller |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 23 Years |
Location | 1320 Mercy Dr Nw, Canton, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053348250 | NPI | - | NPPES |
2681156 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 34008827 (Ohio) | Secondary |
207L00000X | Anesthesiology | 34.008827 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Medical Center | Canton, OH | Hospital |
Wooster Community Hospital | Wooster, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ohio Anesthesia Group, Inc | 9537222138 | 127 |
Entity Name | Ohio Anesthesia Group, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639348113 PECOS PAC ID: 9537222138 Enrollment ID: O20090108000069 |
Mailing Address | Practice Location Address |
---|---|
Scott R Fuller, DO 9500 Euclid Ave, Cleveland, OH 44195-0001 Ph: () - | Scott R Fuller, DO 1320 Mercy Dr Nw, Canton, OH 44708-2614 Ph: (330) 489-1000 |
Anthony Clark, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2600 Sixth Street Sw, Ohio Hospital Based Physician Corp, Canton, OH 44710 Phone: 330-363-7462 Fax: 330-363-7679 | |
Dr. Meghan Elizabeth Nein, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4760 Belpar St Nw, Canton, OH 44718 Phone: 330-492-9200 | |
Brendan Joseph Mccafferty, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 1320 Mercy Dr Nw, Canton, OH 44708 Phone: 330-489-1000 Fax: 330-498-4229 | |
Dr. Michael John O'brien, D.O. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 4665 Douglas Cir Nw, Canton, OH 44718 Phone: 330-499-5700 | |
Wen Shin Liu, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 4665 Douglas Cir Nw, Suite 101, Canton, OH 44718 Phone: 330-499-5700 Fax: 330-498-4229 | |
Jeffrey Zagst, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2600 Sixth St Sw, Ohio Hospital Based Physicians Corp, Canton, OH 44710 Phone: 330-363-7462 Fax: 330-363-7679 | |
Mounir Mikhail, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2600 Sixth St Sw, Canton, OH 44710 Phone: 330-363-7462 Fax: 330-363-7679 |