Jared Russel Fuller, DO - Medicare Anesthesiology in Apo, AA

Jared Russel Fuller, DO is a medicare enrolled "Anesthesiology" physician in Apo, Armed Forces Americas. He graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice San Juan Regional Medical Center, Inc. and his current practice location is 4700 North Las Vegas Blvd, Apo, Armed Forces Americas. You can reach out to his office (for appointments etc.) via phone at (702) 653-3553.

Jared Russel Fuller is licensed to practice in Nevada (license number DO1717) 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 1669649117.

Contact Information

Jared Russel Fuller, DO
4700 North Las Vegas Blvd,
Apo, AA 89191
(702) 653-3553
Not Available



Physician's Profile

Full NameJared Russel Fuller
GenderMale
SpecialityAnesthesiology
Experience16 Years
Location4700 North Las Vegas Blvd, Apo, Armed Forces Americas
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:
  • Jared Russel Fuller graduated from medical school in 2008
  NPI Data:
  • NPI Number: 1669649117
  • Provider Enumeration Date: 05/14/2008
  • Last Update Date: 02/13/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 4183869258
  • Enrollment ID: I20161103002003

Medical Identifiers

Medical identifiers for Jared Russel Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669649117NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology DO1717 (Nevada)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
San Juan Regional Medical CenterFarmington, NMHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
San Juan Regional Medical Center, Inc.4587559505183

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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. Jared Russel Fuller allows following entities to bill medicare on his behalf.
Entity NameSan Juan Regional Medical Center, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639662901
PECOS PAC ID: 4587559505
Enrollment ID: O20040218000865

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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. Jared Russel 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
Jared Russel Fuller, DO
7435 Dumbarton Oaks St,
Las Vegas, NV 89166-5227

Ph: () -
Jared Russel Fuller, DO
4700 North Las Vegas Blvd,
Apo, AA 89191

Ph: (702) 653-3553

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Anesthesiology Doctors in Apo, AA

Dr. Jonathan Neil Sherrod, M.D.
Anesthesiology
Medicare: Medicare Enrolled
Practice Location: 3851 Roger Brooke Drive, Mche-qd (creds), Apo, AA 78234
Phone: 210-916-2460    
Dr. Tamara Daniels Lawson, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 6900 Georgia Ave Nw, Walter Reed Army Medical Center, Apo, AA 20307
Phone: 202-782-0039    

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