Kristen Fuller, in Bangor, ME - Medicare Optometrist Provider

Kristen Fuller, is a medicare enrolled "Optometrist" provider in Bangor, Maine. Her current practice location is 35 State Hospital Dr, Bangor, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 623-8411.

Kristen Fuller is licensed to practice in Ohio (license number 6995) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1306428669.

Contact Information

	Kristen Fuller,
	35 State Hospital Dr, Bangor, ME 04401-8816
	(207) 623-8411
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kristen Fuller
Gender	Female
Speciality	Optometrist
Location	35 State Hospital Dr, Bangor, Maine
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306428669
Provider Enumeration Date: 04/26/2021
Last Update Date: 07/05/2023

Medicare PECOS Information:

PECOS PAC ID: 7416346432
Enrollment ID: I20211112002128

Medical Identifiers

Medical identifiers for Kristen Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306428669	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	6995 (Ohio)	Primary

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. Kristen Fuller allows following entities to bill medicare on her behalf.

Provider Name	Myeyedr Optometry Of Ohio, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1902365448 PECOS PAC ID: 7719211010 Enrollment ID: O20190619003699

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. Kristen 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
Kristen Fuller, 35 State Hospital Dr, Bangor, ME 04401-8816 Ph: () -	Kristen Fuller, 35 State Hospital Dr, Bangor, ME 04401-8816 Ph: (207) 623-8411

Reviews and Comments

Optometrist in Bangor, ME

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Sarah Jayne Gladstone, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 824 Stillwater Ave, Bangor, ME 04401 Phone: 207-947-7554 Fax: 207-945-0085

Kristen Fuller, - Medicare Optometrist in Bangor, ME