Andrea Marie Fullerton, MD - Medicare Obstetrics/gynecology in Wichita, KS

Andrea Marie Fullerton, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Wichita, Kansas. She went to Sanford School Of Medicine Of University Of South Dakota and graduated in 2007 and has 17 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Ascension Medical Group Via Christi, Pa and her current practice location is 1515 S Clifton, Ste 400, Wichita, Kansas. You can reach out to her office (for appointments etc.) via phone at (316) 636-1550.

Andrea Marie Fullerton is licensed to practice in Kansas (license number 046772) 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 1063617587.

Contact Information

Andrea Marie Fullerton, MD
1515 S Clifton, Ste 400,
Wichita, KS 67208
(316) 636-1550
(316) 689-9769



Physician's Profile

Full NameAndrea Marie Fullerton
GenderFemale
SpecialityObstetrics/gynecology
Experience17 Years
Location1515 S Clifton, Wichita, Kansas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Andrea Marie Fullerton attended and graduated from Sanford School Of Medicine Of University Of South Dakota in 2007
  NPI Data:
  • NPI Number: 1063617587
  • Provider Enumeration Date: 06/15/2007
  • Last Update Date: 02/07/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 1456522309
  • Enrollment ID: I20110926000304

Medical Identifiers

Medical identifiers for Andrea Marie Fullerton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063617587NPI-NPPES
003719131OtherMEDICARE
200429620AOtherOKOK MEDICAID
200865920AMedicaidKS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 046772 (Kansas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Via Christi Hospital-wichitaWichita, KSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ascension Medical Group Via Christi, Pa2961314497177

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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. Andrea Marie Fullerton allows following entities to bill medicare on her behalf.
Entity NameAscension Medical Group Via Christi, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063453991
PECOS PAC ID: 2961314497
Enrollment ID: O20031104000089

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Entity NameKingman County Family Medicine Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770785362
PECOS PAC ID: 0941266852
Enrollment ID: O20041202000643

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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. Andrea Marie Fullerton 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
Andrea Marie Fullerton, MD
Po Box 8035,
Wichita, KS 67208-0035

Ph: (316) 689-9135
Andrea Marie Fullerton, MD
1515 S Clifton, Ste 400,
Wichita, KS 67208

Ph: (316) 636-1550

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Obstetrics & Gynecology Doctors in Wichita, KS

Damen Wayne Hershberger, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 9300 E 29th St N Ste 320, Wichita, KS 67226
Phone: 316-858-7100    Fax: 316-858-7103
Edmond G Feuille Ii, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 551 N Hillside St, Ste 510, Wichita, KS 67214
Phone: 316-685-0559    Fax: 316-685-0455
Dr. Elizabeth Carole Melton-mendoza, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 1010 N Kansas St, Wichita, KS 67214
Phone: 316-962-3100    
Mackenzie Dikeman,
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 1010 N Kansas St Ste 3023, Wichita, KS 67214
Phone: 316-293-2665    
Lucy Lehoczky,
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 1010 N Kansas St Ste 3023, Wichita, KS 67214
Phone: 316-293-2665    
Dr. Thalia J Lopez, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 527 N Grove St, Wichita, KS 67214
Phone: 316-262-2415    Fax: 316-264-4734

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