Shannia Fullerton, is a medicare enrolled "Anesthesiologist Assistant" physician in Orlando, Florida. She graduated from medical school in 2020 and has 5 years of diverse experience with area of expertise as Anesthesiology Assistant. She is a member of the group practice Brevard Physician Associates Pllc, Orlando Health Medical Group Inc and her current practice location is
62 Columbia St, Orlando, Florida. You can reach out to her office (for appointments etc.) via phone at
(321) 214-4903.
Shannia Fullerton is licensed to practice in Florida (license number AA621) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1912510124.
Physician's Profile
| Full Name | Shannia Fullerton |
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| Gender | Female |
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| Speciality | Anesthesiology Assistant |
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| Experience | 5 Years |
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| Location | 62 Columbia St, Orlando, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Shannia Fullerton graduated from medical school in 2020
NPI Data:
- NPI Number: 1912510124
- Provider Enumeration Date: 08/26/2020
- Last Update Date: 12/29/2023
Medicare PECOS Information:
- PECOS PAC ID: 5395165260
- Enrollment ID: I20201014001731
Medical Identifiers
Medical identifiers for Shannia Fullerton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912510124 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207L00000X | Anesthesiology | 32697719 (Florida) | Secondary |
| 367H00000X | Anesthesiologist Assistant | AA621 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Brevard Physician Associates Pllc | 1850535048 | 197 |
| Orlando Health Medical Group Inc | 9537059084 | 1478 |
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. Shannia Fullerton allows following entities to bill medicare on her behalf.
| Entity Name | Orlando Anesthesia Consultants Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184661696
PECOS PAC ID: 6204729056
Enrollment ID: O20040205000237 |
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| Entity Name | Orlando Health Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669429577
PECOS PAC ID: 9537059084
Enrollment ID: O20040318000044 |
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| Entity Name | Brevard Physician Associates Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598008955
PECOS PAC ID: 1850535048
Enrollment ID: O20130909000619 |
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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. Shannia Fullerton 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 |
|---|
Shannia Fullerton,
62 Columbia St,
Orlando, FL 32806-1115
Ph: (321) 214-4903 | Shannia Fullerton,
62 Columbia St,
Orlando, FL 32806-1115
Ph: (321) 214-4903 |
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