Justin Wayne Fuller, - Medicare Certified Registered Nurse Anesthetist (crna) in Mesa, AZ

Justin Wayne Fuller, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Mesa, Arizona. He graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Banner - University Hospital Based Physicians Llc, Anesthesia Partners Of Arizona Llc and his current practice location is 1400 S Dobson Rd, Mesa, Arizona. You can reach out to his office (for appointments etc.) via phone at (972) 761-5508.

Justin Wayne Fuller is licensed to practice in Arizona (license number 264564) 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 1962176917.

Contact Information

Justin Wayne Fuller,
1400 S Dobson Rd,
Mesa, AZ 85202-4707
(972) 761-5508
Not Available



Provider's Profile

Full NameJustin Wayne Fuller
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience3 Years
Location1400 S Dobson Rd, Mesa, Arizona
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:
  • Justin Wayne Fuller graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1962176917
  • Provider Enumeration Date: 08/03/2021
  • Last Update Date: 10/26/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4880082619
  • Enrollment ID: I20211028001039

Medical Identifiers

Medical identifiers for Justin Wayne Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962176917NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 264564 (Arizona)Primary
367500000XNurse Anesthetist, Certified Registered RN185391 (Arizona)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Banner - University Medical Center PhoenixPhoenix, AZHospital
Banner Desert Medical CenterMesa, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Banner - University Hospital Based Physicians Llc1052614294244
Anesthesia Partners Of Arizona Llc8628317179181

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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. Justin Wayne Fuller allows following entities to bill medicare on his behalf.
Entity NameArizona Advanced Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134479892
PECOS PAC ID: 0941454953
Enrollment ID: O20130129000024

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Entity NameBanner - University Hospital Based Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750751566
PECOS PAC ID: 1052614294
Enrollment ID: O20160122000508

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Entity NameAnesthesia Partners Of Arizona Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619452901
PECOS PAC ID: 8628317179
Enrollment ID: O20190228001927

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Entity NameHospitalist Medicine Physicians Of Arizona - Nogales
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487251799
PECOS PAC ID: 9335554625
Enrollment ID: O20210218002429

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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. Justin Wayne 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
Justin Wayne Fuller,
1400 S Dobson Rd,
Mesa, AZ 85202-4707

Ph: (972) 761-5508
Justin Wayne Fuller,
1400 S Dobson Rd,
Mesa, AZ 85202-4707

Ph: (972) 761-5508

News Archive

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To effectively perform any daily task, the human brain needs to process information from the outside world using various cognitive functions. This cognitive processing passes through a dense interconnected network of cells whose physiology is specialized.

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› Verified 6 days ago


Nurse Anesthetist, Certified Registered Nurses in Mesa, AZ

Annabell Stimac, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3060 N Ridgecrest, Apt 164, Mesa, AZ 85207
Phone: 480-654-8197    
Juancho C. Depaolo, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1301 S Crismon Rd, Mesa, AZ 85209
Phone: 800-402-0881    
Mr. Stephen Troy Porter, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 135 S Power Rd Ste 110, Mesa, AZ 85206
Phone: 480-745-8577    
Candice Weierman Rodriguez, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 4838 E. Baseline Road, Suite 108, Mesa, AZ 85206
Phone: 480-981-2400    Fax: 480-981-2407
Jennifer Michelle Hayden, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 1155 S Power Rd Ste, Mesa, AZ 85206
Phone: 623-271-2254    
Craig Ryan, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1301 S Crismon Rd, Mesa, AZ 85209
Phone: 480-358-6100    
Stuart Russell,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2330 E Jasmine St, Mesa, AZ 85213
Phone: 480-980-7302    

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