Bruce William Fuller (NPI# 1588861397, PAC ID# 9537258231) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1588861397 |
| PAC ID by PECOS | 9537258231 |
| Professional Enrollment ID | I20071204000080 |
| Full Name | Bruce William Fuller |
| Address |
1609 Pasadena Ave S Suite 4c South Pasadena FL 33707-4564 |
| Gender | M |
| Medical School | DARTMOUTH MEDICAL SCHOOL |
| Graduation Year | 2003 |
| Primary Specialty | DERMATOLOGY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3950 Gs Richards Blvd, Carson City, NV 89703-8457 | 77588287772005 | MOUNTAIN WEST DERM - BLACKHART PLLC |
| 640 W Moana Ln, Reno, NV 89509-4903 | 7753240699 | MOUNTAIN WEST DERM - BLACKHART PLLC |
| 1609 Pasadena Ave S, Suite 4c, South Pasadena, FL 33707-4564 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 100% | |
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 100% | |
| MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% | |
| MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_265_overall | Biopsy Follow-Up | 100% | |
| MIPS_EC_265_overall | Biopsy Follow-Up | 100% |
| Street Address |
1609 PASADENA AVE S SUITE 4C |
| City | SOUTH PASADENA |
| State | FL |
| Zip | 33707-4564 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bharti K Shetye | Internal Medicine | Greater Tampa Bay Physician Specialists LLC | 1609 Pasadena Ave S, Suite 2e, South Pasadena, FL 33707-4560 |
| Simran Khurana | Internal Medicine | Nano Life Pl | 1609 Pasadena Ave S, Suite 2n, South Pasadena, FL 33707-4561 |
| Belinda Schwartz | Internal Medicine | Nano Life Pl | 1609 Pasadena Ave S, Suite 2n, South Pasadena, FL 33707-4561 |
| Abhishek Gulati | Family Medicine | Greater Tampa Bay Physician Network LLC | 1609 Pasadena Ave S, Suite 2e, South Pasadena, FL 33707-4560 |
| Karen F Monroe | Family Medicine | 1609 Pasadena Ave S, Suite 4g, South Pasadena, FL 33707-4564 | |
| Martha E Mixa | Physician Assistant | Thomas M Mixa Md Pa | 1609 Pasadena Ave S, Suite 1a, South Pasadena, FL 33707-4514 |
| Andrew L Rutherford | Internal Medicine | Nano Life Pl | 1609 Pasadena Ave S, Suite 2n, South Pasadena, FL 33707-4561 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott E Kapulskey | Geriatric Medicine | 7035 1st S Ave, Saint Petersburg, FL 33707-1203 | |
| Mark A Nowacki | Internal Medicine | 7011 1st Ave S, St Petersburg, FL 33707-1203 | |
| Rebeca Fajardo | Internal Medicine | Webber Primecare Medical Center LLC | 7035 1st S Ave, Saint Petersburg, FL 33707-1203 |
| Jane E Kienle | Geriatric Medicine | Dean A Bramlet M D P A | 7111 1st S Ave, Saint Petersburg, FL 33707-1223 |
| Christopher Joseph Leto | Otolaryngology | Select Physicians Alliance Pl | 6827 1st Ave S, Suite 100, St Petersburg, FL 33707-1242 |
| Timothy M Dunlevy | Otolaryngology | Pasadena Ent Pa | 6827 1st S Ave, Suite 100, Saint Petersburg, FL 33707-1242 |
| Skye Dorsett Quamina | Qualified Audiologist | Select Physicians Alliance Pl | 6827 1st Ave S, Suite 100, St Petersburg, FL 33707-1242 |
| Ricardo Requena | Otolaryngology | Select Physicians Alliance Pl | 6827 1st Ave S, Suite 100, St Petersburg, FL 33707-1242 |
| Calli Keenan Fodor | Qualified Audiologist | Select Physicians Alliance Pl | 6827 1st Ave S, Suite 100, St Petersburg, FL 33707-1242 |
| Helen L Techler | Qualified Audiologist | Select Physicians Alliance Pl | 6827 1st Ave S, Suite 100, St Petersburg, FL 33707-1242 |
| Find all physicians in zip 33707 | |||
| City | SOUTH PASADENA |
| Zip Code | 33707 |
| Specialty | DERMATOLOGY |
| City + Specialty | SOUTH PASADENA + DERMATOLOGY |
Please comment or provide details below to improve the information on Bruce William Fuller.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.