Shannia Fullerton, is a medicare enrolled "Anesthesiologist Assistant" physician in Orlando, Florida. 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 |
|---|
| Gender | Female |
|---|
| Speciality | |
|---|
| Experience | Years |
|---|
| Location | 62 Columbia St, Orlando, Florida |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Shannia Fullerton attended and graduated from in
NPI Data:
- NPI Number: 1912510124
- Provider Enumeration Date: 08/26/2020
- Last Update Date: 12/29/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
|---|
| 207L00000X | Anesthesiology | 32697719 (Florida) | Secondary |
| 367H00000X | Anesthesiologist Assistant | AA621 (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. 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 |
Reviews and Comments