Dr Douglas Conrad Fuller, MD, MPH - Medicare Preventive Medicine in Nellis Afb, NV

Dr Douglas Conrad Fuller, MD, MPH is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in Nellis Afb, Nevada. His current practice location is 4311 Carswell Ave Bldg 340, Nellis Afb, Nevada. You can reach out to his office (for appointments etc.) via phone at (702) 653-3431.

Dr Douglas Conrad Fuller is licensed to practice in Nevada (license number 18972) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1649268533.

Contact Information

Dr Douglas Conrad Fuller, MD, MPH
4311 Carswell Ave Bldg 340,
Nellis Afb, NV 89191-7069
(702) 653-3431
(702) 653-3591



Physician's Profile

Full NameDr Douglas Conrad Fuller
GenderMale
SpecialityPreventive Medicine - Occupational Medicine
Location4311 Carswell Ave Bldg 340, Nellis Afb, Nevada
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1649268533
  • Provider Enumeration Date: 10/13/2005
  • Last Update Date: 08/03/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5597953117
  • Enrollment ID: I20150623001400

Medical Identifiers

Medical identifiers for Dr Douglas Conrad Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649268533NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2083A0100XPreventive Medicine - Aerospace Medicine 18972 (Nevada)Secondary
2083X0100XPreventive Medicine - Occupational Medicine 358526-1205 (Utah)Secondary
2083X0100XPreventive Medicine - Occupational Medicine 18972 (Nevada)Primary

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. Dr Douglas Conrad 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 AddressPractice Location Address
Dr Douglas Conrad Fuller, MD, MPH
4811 Carswell Dr. Bldg 340,
Nellis Afb, NV 89191

Ph: (702) 653-3431
Dr Douglas Conrad Fuller, MD, MPH
4311 Carswell Ave Bldg 340,
Nellis Afb, NV 89191-7069

Ph: (702) 653-3431

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Preventive Medicine Doctors in Nellis Afb, NV

Dr. Jon J Juhasz, MD
Preventive Medicine
Medicare: Medicare Enrolled
Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191
Phone: 702-653-2344    
Dr. Travis B Grindstaff, M.D., MPHB
Preventive Medicine
Medicare: Medicare Enrolled
Practice Location: 4700 Las Vegas Blvd N Bldg 1300, Nellis Afb, NV 89191
Phone: 702-653-2766    
David Navel, MD
Preventive Medicine
Medicare: Medicare Enrolled
Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191
Phone: 702-653-2273    
Dr. Bret Douglas Heerema, M.D.
Preventive Medicine
Medicare: Medicare Enrolled
Practice Location: 4700 Las Vegas Blvd N, Attn: Credentials Office, Nellis Afb, NV 89191
Phone: 702-653-3067    Fax: 702-653-3398
Dr. Joseph C Hudson, MD
Preventive Medicine
Medicare: Medicare Enrolled
Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191
Phone: 702-404-1142    
Dr. Paul Thomas Deflorio, MD
Preventive Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191
Phone: 702-653-2273    

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