Mr Timothy V Fuller, CRNA - Nurse Anesthetist, Certified Registered in Allegan, MI

Mr Timothy V Fuller, CRNA is a Nurse Anesthetist, Certified Registered based in Allegan, Michigan. Mr Timothy V Fuller is licensed to practice in Michigan (license number 4704138811) and his current practice location is 555 Linn St, Allegan, Michigan. He can be reached at his office (for appointments etc.) via phone at (269) 686-4143.

NPI number for Mr Timothy V Fuller is 1225153836 and his current mailing address is 1331 34th St, Allegan, Michigan. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1225153836.

Contact Information

Mr Timothy V Fuller, CRNA
555 Linn St,
Allegan, MI 49010-1524
(269) 686-4143
Not Available



Provider's Profile

Full NameMr Timothy V Fuller
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location555 Linn St, Allegan, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1225153836
  • Provider Enumeration Date: 03/20/2007
  • Last Update Date: 11/30/2012

Medical Identifiers

Medical identifiers for Mr Timothy V Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225153836NPI-NPPES
43OZ36149OtherBLUE CROSS
10-4315429MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 4704138811 (Michigan)Primary

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. Mr Timothy V Fuller is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Timothy V Fuller, CRNA
1331 34th St,
Allegan, MI 49010-9384

Ph: (269) 686-4143
Mr Timothy V Fuller, CRNA
555 Linn St,
Allegan, MI 49010-1524

Ph: (269) 686-4143

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› Verified 8 days ago


Nurse Anesthetist, Certified Registered Nurses in Allegan, MI

Tyler Wilhelm, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 555 Linn St, Anesthesia Dept., Allegan, MI 49010
Phone: 269-686-4144    
Mr. Philip W. Brown, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 555 Linn St, Allegan, MI 49010
Phone: 269-686-4141    
Kenneth Whitcomb, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 555 Linn St, Allegan, MI 49010
Phone: 269-673-8424    
Rebecca Stienstra, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 555 Linn St, Allegan, MI 49010
Phone: 708-302-3014    

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