Dr Sam Fuller, MD - Medicare Hand Surgery in South Bend, IN

Dr Sam Fuller, MD is a medicare enrolled "Surgery - Plastic And Reconstructive Surgery" physician in South Bend, Indiana. He went to University Of Chicago, Pritzker School Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Hand Surgery. He is a member of the group practice Ascendant Orthopedic Alliance Llc, Central Indiana Orthopedics Llc and his current practice location is 53880 Carmichael Dr, South Bend, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 247-9441.

Dr Sam Fuller is licensed to practice in Indiana (license number 01075560A) 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 1649569484.

Contact Information

Dr Sam Fuller, MD
53880 Carmichael Dr,
South Bend, IN 46635-1567
(574) 247-9441
(574) 247-9442



Physician's Profile

Full NameDr Sam Fuller
GenderMale
SpecialityHand Surgery
Experience15 Years
Location53880 Carmichael Dr, South Bend, Indiana
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:
  • Dr Sam Fuller attended and graduated from University Of Chicago, Pritzker School Of Medicine in 2009
  NPI Data:
  • NPI Number: 1649569484
  • Provider Enumeration Date: 04/01/2011
  • Last Update Date: 11/15/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4880989847
  • Enrollment ID: I20160830001218

Medical Identifiers

Medical identifiers for Dr Sam Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649569484NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0122XSurgery - Plastic And Reconstructive Surgery 01075560A (Indiana)Primary
2086S0105XSurgery - Surgery Of The Hand 01075560A (Indiana)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Saint Joseph Regional Medical Center - PlymouthPlymouth, INHospital
Saint Joseph Regional Medical CenterMishawaka, INHospital
Memorial Hospital Of South BendSouth bend, INHospital
La Porte HospitalLa porte, INHospital
Lakeland Hospital, St JosephSt joseph, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ascendant Orthopedic Alliance Llc761823412158
Central Indiana Orthopedics Llc5698667822142

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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 Sam Fuller allows following entities to bill medicare on his behalf.
Entity NameCentral Indiana Orthopedics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063422137
PECOS PAC ID: 5698667822
Enrollment ID: O20040325000156

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Entity NameAscendant Orthopedic Alliance Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336665991
PECOS PAC ID: 7618234121
Enrollment ID: O20171207001962

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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 Sam 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 Sam Fuller, MD
3600 W Bethel Ave,
Muncie, IN 47304-5407

Ph: () -
Dr Sam Fuller, MD
53880 Carmichael Dr,
South Bend, IN 46635-1567

Ph: (574) 247-9441

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Surgery Doctors in South Bend, IN

Marie E Unruh, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 100 Navarre Pl Ste 5500, South Bend, IN 46601
Phone: 574-647-5200    Fax: 574-647-5210
Dr. Robert G. Credi, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 621 Memorial Dr Ste 502, South Bend, IN 46601
Phone: 574-647-5875    Fax: 574-647-5878
Scott G Thomas, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 621 Memorial Dr, Suite 502, South Bend, IN 46601
Phone: 574-647-5875    Fax: 574-647-5878
Michael C Rotkis, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 621 Memorial Dr, South Bend, IN 46601
Phone: 574-236-1888    Fax: 574-236-1887
William Anderson, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 621 Memorial Dr, Ste 502, South Bend, IN 46601
Phone: 574-647-5875    Fax: 515-643-5802
George B Friend, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 621 Memorial Dr, South Bend, IN 46601
Phone: 574-236-1888    Fax: 574-236-1888
Daniel P. Srikureja, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 621 Memorial Dr Ste 502, South Bend, IN 46601
Phone: 574-647-5875    Fax: 574-647-5878

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