Donald Fullerton, CRNA is a
Nurse Anesthetist, Certified Registered based in Cumberland, Wisconsin. Donald Fullerton is licensed to practice in Wisconsin (license number 92489) and his current practice location is
1110 7th Ave, Cumberland, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(715) 822-2741.
NPI number for Donald Fullerton is 1316254089 and his current mailing address is 1110 7th Ave, Cumberland, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1316254089.
Provider's Profile
| Full Name | Donald Fullerton |
|---|
| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 1110 7th Ave, Cumberland, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1316254089
- Provider Enumeration Date: 09/01/2010
- Last Update Date: 09/02/2010
Medical Identifiers
Medical identifiers for Donald Fullerton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316254089 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 92489 (Wisconsin) | 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. Donald 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 Address | Practice Location Address |
|---|
Donald Fullerton, CRNA
1110 7th Ave,
Cumberland, WI 54829-9138
Ph: () - | Donald Fullerton, CRNA
1110 7th Ave,
Cumberland, WI 54829-9138
Ph: (715) 822-2741 |
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