Anthony Raymond Fuller, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Lubbock, TX

Anthony Raymond Fuller, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Lubbock, Texas. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Northstar Anesthesia Pa and his current practice location is 602 Indiana Ave, Lubbock, Texas. You can reach out to his office (for appointments etc.) via phone at (806) 775-8200.

Anthony Raymond Fuller is licensed to practice in Texas (license number AP140202) 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 1073085999.

Contact Information

Anthony Raymond Fuller, CRNA
602 Indiana Ave,
Lubbock, TX 79415-3364
(806) 775-8200
Not Available



Provider's Profile

Full NameAnthony Raymond Fuller
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience6 Years
Location602 Indiana Ave, Lubbock, Texas
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:
  • Anthony Raymond Fuller graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1073085999
  • Provider Enumeration Date: 12/18/2018
  • Last Update Date: 01/07/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2466799127
  • Enrollment ID: I20190204001297

Medical Identifiers

Medical identifiers for Anthony Raymond Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073085999NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered AP140202 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lubbock Heart Hospital LpLubbock, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northstar Anesthesia Pa7315907128290

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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. Anthony Raymond Fuller allows following entities to bill medicare on his behalf.
Entity NameNorthstar Anesthesia Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912978610
PECOS PAC ID: 7315907128
Enrollment ID: O20041015000685

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Entity NameTexas Tech University Health Sciences Center Lubbock
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063461358
PECOS PAC ID: 4385549674
Enrollment ID: O20110318000468

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Entity NameLubbock Gastroenterology & Liver Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356979397
PECOS PAC ID: 0941630966
Enrollment ID: O20200415001281

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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. Anthony Raymond 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
Anthony Raymond Fuller, CRNA
1122 Ballard Green Pl,
Brandon, FL 33511-2390

Ph: (806) 790-5329
Anthony Raymond Fuller, CRNA
602 Indiana Ave,
Lubbock, TX 79415-3364

Ph: (806) 775-8200

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Nurse Anesthetist, Certified Registered Nurses in Lubbock, TX

Kayleigh Mccarrell, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2412 50th St, Lubbock, TX 79412
Phone: 806-744-7223    Fax: 806-740-3325
Mr. Nzonguti Ekangaki, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3601 4th St Ste 1b350s, Lubbock, TX 79430
Phone: 806-743-6639    
Mrs. Mayme Alicia Matthews,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: Texas Tech University Health Sciences Ctr, 3601 4th Street, Ms 8182, Lubbock, TX 79430
Phone: 806-743-2981    Fax: 806-743-2982
Mr. Joshua Kain Jones, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 5602 Geneva Ave, Lubbock, TX 79413
Phone: 432-349-0935    
Mrs. Sarah L Daftarian, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3601 4th St, Lubbock, TX 79430
Phone: 806-743-2981    Fax: 806-743-2984
Joshua Alan Long, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3601 4th St, Ste. 1b350k, Lubbock, TX 79430
Phone: 806-743-2981    Fax: 806-743-2984

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