DR. MARIAN FULLER MD
NPI 1225053366
Obstetrics & Gynecology in Manistee, MI

Active since July 12, 2006PECOS EnrolledAccepts Medicare Assignment
1293 E PARKDALE AVE, MANISTEE, MI 49660(231) 398-1550 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 14, 2025, Nov 7, 2024, Sep 27, 2024 and 7 more (10 updates tracked since 2019).

About Dr. Marian Fuller Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARIAN FULLER MD (NPI 1225053366) is an individual obstetrics & gynecology provider in Manistee, Michigan, licensed in Michigan (4301079496) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Munson Healthcare Manistee Hospital, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1225053366
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. MARIAN FULLERCredential: MD
Location Address1293 E PARKDALE AVEManistee, MI 49660
Mailing Address1293 E Parkdale AveManistee, MI 49660-8904 · (231) 398-1550 · Fax (231) 398-9268
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2002
Enumeration DateJuly 12, 2006
Last NPPES UpdateMay 14, 202510 updates tracked since enumeration
NPPES CertifiedMay 14, 2025
NPI 1225053366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in MI · 4301079496
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1293 E PARKDALE AVE, Manistee, MI 49660

Other Names 1

Former Name (1)Marian Roberta Bentley Md

Secondary Practice Locations 5

Location 17 Atkinson Dr Ste 200Ludington, MI 49431-1917 · Phone (231) 843-6767
Location 27985 S Mackinaw TrlCadillac, MI 49601-8111 · Phone (231) 876-6100 · Fax (231) 779-5290
Location 314651 W Upright StCharlevoix, MI 49720-1266 · Phone (231) 547-4477 · Fax (231) 392-7334
Location 43960 W Royal DrTraverse City, MI 49684-9200 · Phone (231) 947-0404
Location 51250 E Michigan Ave Ste CGrayling, MI 49738-7074 · Phone (989) 348-0550

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Marian Fuller Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163427147
PECOS Enrollment IDI20060926000190
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Munson Healthcare Manistee Hospital

Acute Care Hospitals · Manistee, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230303
Location1465 E Parkdale AveManistee, MI 49660 · Manistee County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49660 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
1293 E PARKDALE AVE, STE 2300B
MANISTEE, MI 49660
Pediatrics
1293 E PARKDALE AVE, SUITE 1200
MANISTEE, MI 49660
Nurse Practitioner (Family)
1293 E PARKDALE AVE
MANISTEE, MI 49660
Physician Assistant (Medical)
1293 E PARKDALE AVE
MANISTEE, MI 49660
Legal Medicine
1293 E PARKDALE AVE, SUITE 2500
MANISTEE, MI 49660
Surgery
1293 E PARKDALE AVE
MANISTEE, MI 49660
Obstetrics & Gynecology
1293 E PARKDALE AVE, SUITE 1200A
MANISTEE, MI 49660
Obstetrics & Gynecology
1293 E PARKDALE AVE, SUITE 1200A
MANISTEE, MI 49660

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marian Fuller's NPI number?

The NPI number for Marian Fuller is 1225053366. It was assigned to this individual provider in the NPPES registry on July 12, 2006. The provider is also known as Marian Roberta Bentley MD.

Where is Marian Fuller located?

Marian Fuller practices at 1293 E Parkdale Ave, Manistee, MI 49660. The listed phone number is (231) 398-1550.

What is Marian Fuller's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Marian Fuller enrolled in Medicare?

Yes. Marian Fuller is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Marian Fuller accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Marian Fuller as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Marian Fuller affiliated with any hospitals?

According to CMS data, Marian Fuller is affiliated with Munson Healthcare Manistee Hospital.

When was this NPI record last updated?

The NPPES record for Marian Fuller was last updated on May 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.