Jordan Fuller, DO - Medicare Hospitalist in Treasure Island, FL

Jordan Fuller, DO is a medicare enrolled "Internal Medicine" physician in Treasure Island, Florida. He went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2016 and has 8 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Bayside Medical Group Llc, Phoebe Physician Group Inc and his current practice location is 61 Dolphin Dr, Treasure Island, Florida. You can reach out to his office (for appointments etc.) via phone at (727) 853-1701.

Jordan Fuller is licensed to practice in Florida (license number OS15231) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1679922678.

Contact Information

Jordan Fuller, DO
61 Dolphin Dr,
Treasure Island, FL 33706-3113
(727) 853-1701
Not Available



Physician's Profile

Full NameJordan Fuller
GenderMale
SpecialityHospitalist
Experience8 Years
Location61 Dolphin Dr, Treasure Island, Florida
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jordan Fuller attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2016
  NPI Data:
  • NPI Number: 1679922678
  • Provider Enumeration Date: 06/09/2016
  • Last Update Date: 04/24/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9032402375
  • Enrollment ID: I20190717000845

Medical Identifiers

Medical identifiers for Jordan Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679922678NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine OS15231 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baycare Home Care IncLargo, FLHome health agency
Phoebe Home HealthAlbany, GAHome health agency
St Anthonys HospitalSaint petersburg, FLHospital
Phoebe Putney Memorial HospitalAlbany, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Bayside Medical Group Llc99313259906
Phoebe Physician Group Inc8426112350342

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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. Jordan Fuller allows following entities to bill medicare on his behalf.
Entity NameBayside Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215353818
PECOS PAC ID: 9931325990
Enrollment ID: O20140728001785

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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. Jordan 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
Jordan Fuller, DO
61 Dolphin Dr,
Treasure Island, FL 33706-3113

Ph: () -
Jordan Fuller, DO
61 Dolphin Dr,
Treasure Island, FL 33706-3113

Ph: (727) 853-1701

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Internal Medicine Doctors in Treasure Island, FL

Dr. Peter Michael Pardoll, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 34 Paradise Ln, Treasure Island, FL 33706
Phone: 727-422-5464    Fax: 727-360-5352
Chris Carson, M.D.
Internal Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 61 Dolphin Dr, Treasure Island, FL 33706
Phone: 727-954-0671    Fax: 727-825-1354

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