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ANDREW JOSEPH FULLER SR. MD
NPI 1770807786
Emergency Medicine in Slidell, LA

Active since March 19, 2010PECOS Enrolled
100 MEDICAL CENTER DR, SLIDELL, LA 70461(985) 646-5189 Get Directions Write a Review

NPPES record last updated: September 16, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Andrew Joseph Fuller Sr. Md NPPES

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

ANDREW JOSEPH FULLER SR. MD (NPI 1770807786) is an individual emergency medicine provider in Slidell, Louisiana, licensed in Louisiana (204996) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770807786
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameANDREW JOSEPH FULLER SR.Credential: MD
Location Address100 MEDICAL CENTER DRSlidell, LA 70461-5520
Mailing Address1514 Jefferson HighwayNew Orleans, LA 70121 · (504) 842-4000
Phone(985) 646-5189
Sole ProprietorNo
Enumeration DateMarch 19, 2010
Last NPPES UpdateSeptember 16, 2015
✔ NPI 1770807786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in LA · 204996
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
100 MEDICAL CENTER DR, Slidell, LA 70461
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Other Identifiers 3

Medicaid2106546LA
Medicare PIN349281YH3ULA
Medicaid06059043MS

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew Joseph Fuller Sr. Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70461 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
Most-billed visit code 99214
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.

MRS. JEANNE BIENVENU DAKIN CPNP
Nurse Practitioner (Pediatrics)
100 MEDICAL CENTER DR
SLIDELL, LA 70461
St. Tammany Parish (985) 646-5488
DR. RYAN STEPHEN KISSEE MD
Internal Medicine
100 MEDICAL CENTER DR
SLIDELL, LA 70461
St. Tammany Parish (985) 649-7070
OCHSNER MEDICAL CENTER - NORTHSHORE, L.L.C.
General Acute Care Hospital
100 MEDICAL CENTER DR
SLIDELL, LA 70461
St. Tammany Parish (985) 649-7070
PROFESSIONAL RADIOLOGY SERVICES LLC
Radiology (Diagnostic Radiology)
100 MEDICAL CENTER DR
SLIDELL, LA 70461
St. Tammany Parish (800) 256-1152
DR. XINYU WU
Pathology (Anatomic Pathology)
100 MEDICAL CENTER DR
SLIDELL, LA 70461
St. Tammany Parish (985) 646-5063
CASEY DASTE REED M.D.
Anesthesiology
100 MEDICAL CENTER DR
SLIDELL, LA 70461
St. Tammany Parish (985) 646-5082
TUYET MAI TRAN
Pharmacist
100 MEDICAL CENTER DR
SLIDELL, LA 70461
St. Tammany Parish (985) 646-5095
MASON PAUL COOK
Physician Assistant
100 MEDICAL CENTER DR
SLIDELL, LA 70461
St. Tammany Parish (985) 649-7070

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 Andrew Fuller's NPI number?

The NPI number for Andrew Fuller is 1770807786. It was assigned to this individual provider in the NPPES registry on March 19, 2010.

Where is Andrew Fuller located?

Andrew Fuller practices at 100 Medical Center Dr, Slidell, LA 70461. The listed phone number is (985) 646-5189.

What is Andrew Fuller's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Andrew Fuller enrolled in Medicare?

Yes. Andrew Fuller is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andrew Fuller was last updated on September 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.