Maria Fuller, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Lake Havasu City, Arizona. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Excel Anesthesia, Llc, Excel Anesthesia, Llc and her current practice location is
2795 Poseidon Dr, Lake Havasu City, Arizona. You can reach out to her office (for appointments etc.) via phone at
(816) 769-5775.
Maria Fuller is licensed to practice in Arizona (license number 1154) 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 1134515612.
Provider's Profile
| Full Name | Maria Fuller |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 9 Years |
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| Location | 2795 Poseidon Dr, Lake Havasu City, Arizona |
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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:
- Maria Fuller graduated from nursing school in 2015
NPI Data:
- NPI Number: 1134515612
- Provider Enumeration Date: 04/10/2015
- Last Update Date: 08/10/2016
Medicare PECOS Information:
- PECOS PAC ID: 2163738535
- Enrollment ID: I20170920001568
Medical Identifiers
Medical identifiers for Maria Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1134515612 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 1154 (Arizona) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Excel Anesthesia, Llc | 1850397787 | 10 |
| Excel Anesthesia, Llc | 1850397787 | 10 |
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. Maria Fuller allows following entities to bill medicare on her behalf.
| Entity Name | Anesthesia Associates Of Kansas City Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174504732
PECOS PAC ID: 1951206168
Enrollment ID: O20031201000810 |
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| Entity Name | Excel Anesthesia, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366559130
PECOS PAC ID: 1850397787
Enrollment ID: O20061017000539 |
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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. Maria Fuller 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 |
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Maria Fuller, CRNA
2795 Poseidon Dr,
Lake Havasu City, AZ 86404-3259
Ph: (816) 769-5775 | Maria Fuller, CRNA
2795 Poseidon Dr,
Lake Havasu City, AZ 86404-3259
Ph: (816) 769-5775 |
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