Thomas Scott Fuller, AA-C is a medicare enrolled "Anesthesiologist Assistant" in Roswell, Georgia. He went to Emory University School Of Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Anesthesiology Assistant. He is a member of the group practice Mak Anesthesia Holdings, Llc and his current practice location is
650 Wood Valley Trce, Roswell, Georgia. You can reach out to his office (for appointments etc.) via phone at
(404) 683-0907.
Thomas Scott Fuller is licensed to practice in Georgia (license number 1574) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1457788697.
Provider's Profile
| Full Name | Thomas Scott Fuller |
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| Gender | Male |
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| Speciality | Anesthesiology Assistant |
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| Experience | 11 Years |
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| Location | 650 Wood Valley Trce, Roswell, Georgia |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Thomas Scott Fuller attended and graduated from Emory University School Of Medicine in 2013
NPI Data:
- NPI Number: 1457788697
- Provider Enumeration Date: 10/02/2013
- Last Update Date: 10/02/2013
Medicare PECOS Information:
- PECOS PAC ID: 3678708328
- Enrollment ID: I20131105000722
Medical Identifiers
Medical identifiers for Thomas Scott Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457788697 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367H00000X | Anesthesiologist Assistant | 1574 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mak Anesthesia Holdings, Llc | 4284917204 | 170 |
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. Thomas Scott Fuller allows following entities to bill medicare on his behalf.
| Entity Name | Northlake Anesthesia Professionals,llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982637419
PECOS PAC ID: 2769471796
Enrollment ID: O20040506001031 |
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| Entity Name | Mak Anesthesia Holdings, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912452939
PECOS PAC ID: 4284917204
Enrollment ID: O20170216001563 |
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| Entity Name | Mak Anesthesia Northside Affiliates Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609390103
PECOS PAC ID: 7315203718
Enrollment ID: O20171116002499 |
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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. Thomas Scott 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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Thomas Scott Fuller, AA-C
650 Wood Valley Trce,
Roswell, GA 30076
Ph: (404) 683-0907 | Thomas Scott Fuller, AA-C
650 Wood Valley Trce,
Roswell, GA 30076-2672
Ph: (404) 683-0907 |
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