Mr Michael John Fullam, PA in Patchogue, NY - Medicare Physician Assistant

Mr Michael John Fullam, PA is a medicare enrolled "Physician Assistant" in Patchogue, New York. He graduated from nursing school in 1997 and has 27 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice New York University and his current practice location is 107 N Ocean Ave, Patchogue, New York. You can reach out to his office (for appointments etc.) via phone at (631) 654-5004.

Mr Michael John Fullam is licensed to practice in New York (license number 006268) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1255599163.

Contact Information

	Mr Michael John Fullam, PA
	107 N Ocean Ave, Patchogue, NY 11772-2012
	(631) 654-5004
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Michael John Fullam
Gender	Male
Speciality	Physician Assistant
Experience	27 Years
Location	107 N Ocean Ave, Patchogue, New York
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Michael John Fullam graduated from nursing school in 1997

NPI Data:

NPI Number: 1255599163
Provider Enumeration Date: 05/28/2008
Last Update Date: 02/25/2021

Medicare PECOS Information:

PECOS PAC ID: 2163314618
Enrollment ID: I20040419001486

Medical Identifiers

Medical identifiers for Mr Michael John Fullam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255599163	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	006268 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Suny/stony Brook University Hospital	Stony brook, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
New York University	1355232422	4495

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. Mr Michael John Fullam 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
Mr Michael John Fullam, PA 25 Northumberland Dr, Shoreham, NY 11786-2000 Ph: (631) 846-6984	Mr Michael John Fullam, PA 107 N Ocean Ave, Patchogue, NY 11772-2012 Ph: (631) 654-5004

Reviews and Comments

Physician Assistant Nurses in Patchogue, NY

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Miss Stephanie Salinas, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 65 E Woodside Ave, Patchogue, NY 11772 Phone: 631-317-9364
Ms. Kathryn Elizabeth Walton, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 101 Hospital Rd, Patchogue, NY 11772 Phone: 631-654-7100

Mr Michael John Fullam, PA - Medicare Physician Assistant in Patchogue, NY