Taylor Fuller, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Malvern, Arkansas. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Arkansas Anesthesia Associates Pllc and her current practice location is
2505 Gifford Rd, Malvern, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(501) 467-2404.
Taylor Fuller is licensed to practice in Arkansas (license number C003195) 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 1316471378.
Provider's Profile
Full Name | Taylor Fuller |
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Gender | Female |
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Speciality | Certified Registered Nurse Anesthetist (crna) |
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Experience | 7 Years |
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Location | 2505 Gifford Rd, Malvern, Arkansas |
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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. |
Medical Education and Training:
- Taylor Fuller graduated from nursing school in 2017
NPI Data:
- NPI Number: 1316471378
- Provider Enumeration Date: 04/17/2017
- Last Update Date: 02/17/2022
Medicare PECOS Information:
- PECOS PAC ID: 0042589640
- Enrollment ID: I20170712002854
Medical Identifiers
Medical identifiers for Taylor Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316471378 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | C003195 (Arkansas) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Arkansas Anesthesia Associates Pllc | 6406023142 | 51 |
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. Taylor Fuller allows following entities to bill medicare on her behalf.
Entity Name | University Of Arkansas For Medical Sciences |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1588654016 PECOS PAC ID: 4082528955 Enrollment ID: O20031219000706 |
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Entity Name | Arkansas Anesthesia Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1497023360 PECOS PAC ID: 6406023142 Enrollment ID: O20120119000835 |
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Entity Name | On Site Anesthesia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073220083 PECOS PAC ID: 0446615454 Enrollment ID: O20230426002630 |
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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. Taylor 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 |
Taylor Fuller, CRNA 2505 Gifford Rd, Malvern, AR 72104-7504 Ph: () - | Taylor Fuller, CRNA 2505 Gifford Rd, Malvern, AR 72104-7504 Ph: (501) 467-2404 |
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