Mr Dustin C Fullaway, PT - Medicare Physical Therapist in Spring Lake, NJ

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Mr Dustin C Fullaway, PT is a medicare enrolled "Physical Therapist" provider in Spring Lake, New Jersey. He graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Spine And Sports Medicine Of Tinton Falls, Llc and his current practice location is 1325 Warren Ave, Suite 5, Spring Lake, New Jersey. You can reach out to his office (for appointments etc.) via phone at (732) 449-7855.

Mr Dustin C Fullaway is licensed to practice in New Jersey (license number 40QA01355900) 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 1346553807.

Contact Information

Mr Dustin C Fullaway, PT
1325 Warren Ave, Suite 5,
Spring Lake, NJ 07762-2566
(732) 449-7855
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMr Dustin C Fullaway
GenderMale
SpecialityPhysical Therapy
Experience14 Years
Location1325 Warren Ave, Spring Lake, New Jersey
Accepts Medicare AssignmentsYes. 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 Dustin C Fullaway graduated from medical school in 2010
  NPI Data:
  • NPI Number: 1346553807
  • Provider Enumeration Date: 07/26/2010
  • Last Update Date: 07/26/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 9931395225
  • Enrollment ID: I20101129000801

Medical Identifiers

Medical identifiers for Mr Dustin C Fullaway such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346553807NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 40QA01355900 (New Jersey)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Spine And Sports Medicine Of Tinton Falls, Llc99314616966

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. Mr Dustin C Fullaway allows following entities to bill medicare on his behalf.
Provider NameAdvanced Spine Care And Physical Rehabilitation,llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1891816914
PECOS PAC ID: 0749269637
Enrollment ID: O20040715000057
Provider NameSpine & Sports Medicine Of Tinton Falls, Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1801315635
PECOS PAC ID: 9931461696
Enrollment ID: O20180319000698
Provider NameSpine & Sports Medicine Of Toms River Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1649761883
PECOS PAC ID: 3971854829
Enrollment ID: O20180917001400

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 Dustin C Fullaway 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 AddressPractice Location Address
Mr Dustin C Fullaway, PT
187 Millburn Ave, Ste 110,
Millburn, NJ 07041-1847

Ph: (973) 467-7976		Mr Dustin C Fullaway, PT
1325 Warren Ave, Suite 5,
Spring Lake, NJ 07762-2566

Ph: (732) 449-7855

Reviews and Comments


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Mr. Brian Scott Simon, PT
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Dr. Brian Brateris, DPT
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Practice Location: 1325 Warren Ave, Spring Lake, NJ 07762
Phone: 732-449-5394    Fax: 732-449-7855

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.