Ryan Tueller Fuller, DPT - Medicare Physical Medicine & Rehabilitation in Salt Lake City, UT

Ryan Tueller Fuller, DPT is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Salt Lake City, Utah. His current practice location is 5151 S 900 E Ste 100, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 261-3321.

Ryan Tueller Fuller is licensed to practice in Utah (license number 12949582-2401) 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 1922736859.

Contact Information

Ryan Tueller Fuller, DPT
5151 S 900 E Ste 100,
Salt Lake City, UT 84117-6658
(801) 261-3321
(801) 261-5942



Physician's Profile

Full NameRyan Tueller Fuller
GenderMale
SpecialityPhysical Medicine & Rehabilitation
Location5151 S 900 E Ste 100, Salt Lake City, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1922736859
  • Provider Enumeration Date: 08/09/2022
  • Last Update Date: 08/09/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7618350679
  • Enrollment ID: I20220824001394

Medical Identifiers

Medical identifiers for Ryan Tueller Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922736859NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208100000XPhysical Medicine & Rehabilitation 12949582-2401 (Utah)Primary

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. Ryan Tueller Fuller allows following entities to bill medicare on his behalf.
Entity NameRegistered Physical Therapists Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477582633
PECOS PAC ID: 9537151733
Enrollment ID: O20040330001279

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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. Ryan Tueller 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
Ryan Tueller Fuller, DPT
5151 S 900 E Ste 100,
Salt Lake City, UT 84117-6658

Ph: (801) 261-3321
Ryan Tueller Fuller, DPT
5151 S 900 E Ste 100,
Salt Lake City, UT 84117-6658

Ph: (801) 261-3321

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Physical Medicine & Rehabilitation Doctors in Salt Lake City, UT

James Tran, MD
Physical Medicine & Rehabilitation
Medicare: Medicare Enrolled
Practice Location: Rehab 85 N Medical Drive Rm 2122, Salt Lake City, UT 84132
Phone: 801-585-2589    
Dr. Chase K Hansen, DPT
Physical Medicine & Rehabilitation
Medicare: Not Enrolled in Medicare
Practice Location: 1121 E Brickyard Rd Apt 1803, Salt Lake City, UT 84106
Phone: 801-309-0848    
Michael Tobler,
Physical Medicine & Rehabilitation
Medicare: Medicare Enrolled
Practice Location: 6360 S 3000 E Ste 300, Salt Lake City, UT 84121
Phone: 385-900-5094    
Dr. Jeffrey G Randle, MD
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 1160 E 3900 S, #5000, Salt Lake City, UT 84124
Phone: 801-262-8486    Fax: 801-284-8699
Dr. Michael Matthew Green, D.O.
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 81 N Mario Capecchi Dr, Department Of Pediatrics, Salt Lake City, UT 84113
Phone: 801-213-7737    Fax: 801-587-7539
Ms. Allison Oki, M.D.
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 50 N Medical Dr, Univerisity Of Utah, Department Of Pm&r, Salt Lake City, UT 84132
Phone: 801-585-2589    Fax: 801-587-7287
Bradeigh Smithson Godfrey, D.O.
Physical Medicine & Rehabilitation
Medicare: Medicare Enrolled
Practice Location: 258 Heritage Ctr, Salt Lake City, UT 84112
Phone: 801-587-1290    

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