EDWARD STEVEN FULLER PA-C
NPI 1932257672
Physician Assistant - Surgical in Detroit, MI
- Individual
- Male
- Physician Assistant
- Surgical
- Accepts Insurance
- PECOS Enrolled
About EDWARD FULLER
This page provides the complete NPI Profile along with additional information for Edward Fuller, a provider established in Detroit, Michigan with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1932257672 assigned on January 2007. The practitioner's primary taxonomy code is 363AS0400X with license number 5601002984 (MI). The provider is registered as an individual and his NPI record was last updated 19 years ago.
- NPI
- 1932257672 Verify this NPI
- Provider Name
- EDWARD STEVEN FULLER PA-C
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 22101 MOROSS ROAD DETROIT, MI 48236
- Location Phone
- (313) 343-6866
- Mailing Address
- 5041 YANKEE ST. CLAIR, MI 48079
- Mailing Phone
- (810) 329-6435
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-08-2007
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Surgical
- Taxonomy Code
- 363AS0400X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 5601002984
- License State
- MI
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- MHP Bronze - HMO
- MHP Bronze Saver (Expanded) - HMO
- MHP Expanded Bronze Standard - HMO
- MHP Gold - HMO
- MHP Gold Standard - HMO
- MHP Silver Exchange - HMO
- MHP Silver Exchange Rewards - HMO
- MHP Silver Standard - HMO
- MHP Young Adult/Catastrophic - HMO
- MyPriority Balanced Silver - HMO
- MyPriority Premier Silver - HMO
- MyPriority Standard Bronze - HMO
- MyPriority Standard Bronze - Travel - HMO
- MyPriority Standard Gold - HMO
- MyPriority Standard Silver - HMO
- MyPriority Standard Silver - Travel - HMO
- MyPriority Value Bronze - HMO
- MyPriority Value Bronze HSA - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Edward Fuller is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for EDWARD STEVEN FULLER PA-C
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Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
GROSSE POINTE WOODS, MI 48236
DETROIT, MI 48236
DETROIT, MI 48236
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1932257672, enumerated as an "individual" on January 08, 2007.
The provider is located at 22101 MOROSS ROAD DETROIT, MI 48236 and the phone number is (313) 343-6866.
Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.
The provider might be accepting Accepts: McLaren Health Plan Community and Priority Health. Please consult your insurance carrier or call the provider to verify.
