Dr Marian Roberta-bentley Fuller, MD - Medicare Obstetrics/gynecology in Manistee, MI

Dr Marian Roberta-bentley Fuller, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Manistee, Michigan. She went to Michigan State University College Of Human Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Munson Healthcare Manistee Hospital and her current practice location is 1293 E Parkdale Ave, Manistee, Michigan. You can reach out to her office (for appointments etc.) via phone at (231) 398-1550.

Dr Marian Roberta-bentley Fuller is licensed to practice in Michigan (license number 4301079496) 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 1225053366.

Contact Information

Dr Marian Roberta-bentley Fuller, MD
1293 E Parkdale Ave,
Manistee, MI 49660
(231) 398-1550
Not Available



Physician's Profile

Full NameDr Marian Roberta-bentley Fuller
GenderFemale
SpecialityObstetrics/gynecology
Experience22 Years
Location1293 E Parkdale Ave, Manistee, Michigan
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:
  • Dr Marian Roberta-bentley Fuller attended and graduated from Michigan State University College Of Human Medicine in 2002
  NPI Data:
  • NPI Number: 1225053366
  • Provider Enumeration Date: 07/12/2006
  • Last Update Date: 05/05/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2163427147
  • Enrollment ID: I20060926000190

Medical Identifiers

Medical identifiers for Dr Marian Roberta-bentley Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225053366NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 4301079496 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Munson Healthcare Manistee HospitalManistee, MIHospital
Spectrum Health Ludington HospitalLudington, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Munson Healthcare Manistee Hospital307241433320

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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. Dr Marian Roberta-bentley Fuller allows following entities to bill medicare on her behalf.
Entity NameMunson Healthcare Manistee Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649457771
PECOS PAC ID: 3072414333
Enrollment ID: O20040119000647

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Entity NameMunson Healthcare Charlevoix Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629154307
PECOS PAC ID: 4284528035
Enrollment ID: O20071011000237

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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. Dr Marian Roberta-bentley 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 Marian Roberta-bentley Fuller, MD
1293 E Parkdale Ave,
Manistee, MI 49660-8904

Ph: (231) 398-1550
Dr Marian Roberta-bentley Fuller, MD
1293 E Parkdale Ave,
Manistee, MI 49660

Ph: (231) 398-1550

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Obstetrics & Gynecology Doctors in Manistee, MI

Ronald Roger Joanette, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 1293 E. Parkdale Avenue, Suite 1200a, Manistee, MI 49660
Phone: 231-398-1550    Fax: 231-398-1691
Dr. Stephanie Lynne Fitzgerald, D.O.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1293 E Parkdale Ave, Suite 1200a, Manistee, MI 49660
Phone: 231-398-1550    Fax: 231-398-1691

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