| Fuller Family Medicine, Pc | |
|
4045 Avenue B Billings MT 59106 | |
| (713) 256-1801 | |
| (832) 413-5904 |
| Full Name | Fuller Family Medicine, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4045 Avenue B, Billings, Montana |
| Authorized Official Name and Position | Retha H Reeves (ADMINISTRATOR) |
| Authorized Official Contact | 7132561801 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fuller Family Medicine, Pc 4045 Avenue B Billings MT 59106 Ph: (713) 256-1801 | Fuller Family Medicine, Pc 4045 Avenue B Billings MT 59106 Ph: (713) 256-1801 |
| NPI Number | 1063700722 |
|---|---|
| Provider Enumeration Date | 07/15/2011 |
| Last Update Date | 07/15/2011 |
| Medicare PECOS PAC ID | 1557533312 |
|---|---|
| Medicare Enrollment ID | O20111020000613 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063700722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 10392 (Montana) | Primary |
| Provider Name | Bradley D Fuller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083652564 PECOS PAC ID: 1850330861 Enrollment ID: I20050428001097 |
| Provider Name | Kristy A Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235389693 PECOS PAC ID: 7012085848 Enrollment ID: I20081007000690 |
| Provider Name | Melissa L Fuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831329804 PECOS PAC ID: 2769537125 Enrollment ID: I20090908000679 |
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