Shalyn Mackenzie Fullerton, MD - Surgery in Jacksonville, FL

Shalyn Mackenzie Fullerton, MD is a Surgery physician based in Jacksonville, Florida. Shalyn Mackenzie Fullerton is licensed to practice in Florida (license number TRN40449) and her current practice location is 4500 San Pablo Rd S, Jacksonville, Florida. She can be reached at her office (for appointments etc.) via phone at (904) 953-2000.

NPI number for Shalyn Mackenzie Fullerton is 1053161224 and her current mailing address is 4500 San Pablo Rd S, Jacksonville, Florida. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053161224.

Contact Information

Shalyn Mackenzie Fullerton, MD
4500 San Pablo Rd S,
Jacksonville, FL 32224-1865
(904) 953-2000
Not Available

Map and Direction




Physician's Profile

Full NameShalyn Mackenzie Fullerton
GenderFemale
SpecialitySurgery
Location4500 San Pablo Rd S, Jacksonville, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1053161224
  • Provider Enumeration Date: 03/22/2024
  • Last Update Date: 07/25/2024

Medical Identifiers

Medical identifiers for Shalyn Mackenzie Fullerton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053161224NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery TRN40449 (Florida)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. Shalyn Mackenzie Fullerton is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shalyn Mackenzie Fullerton, MD
4500 San Pablo Rd S,
Jacksonville, FL 32224-1865

Ph: () -
Shalyn Mackenzie Fullerton, MD
4500 San Pablo Rd S,
Jacksonville, FL 32224-1865

Ph: (904) 953-2000

Reviews and Comments


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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.

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