Stephanie Fuller, MD in Philadelphia, PA - Medicare Thoracic Surgery (Cardiothoracic Vascular Surgery)

Stephanie Fuller, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Philadelphia, Pennsylvania. Her current practice location is 34th & Civic Center Blvd, Children's Hospital Of Philadelphia, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 590-2708.

Stephanie Fuller is licensed to practice in Pennsylvania (license number MD420734) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1013115930.

Contact Information

	Stephanie Fuller, MD
	34th & Civic Center Blvd, Children's Hospital Of Philadelphia, Philadelphia, PA 19104-4399
	(215) 590-2708
	(215) 590-2715

Map and Direction

Physician's Profile

Full Name	Stephanie Fuller
Gender	Female
Speciality	Thoracic Surgery (cardiothoracic Vascular Surgery)
Location	34th & Civic Center Blvd, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013115930
Provider Enumeration Date: 07/03/2007
Last Update Date: 04/11/2013

Medicare PECOS Information:

PECOS PAC ID: 9537235908
Enrollment ID: I20080909000244

Medical Identifiers

Medical identifiers for Stephanie Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013115930	NPI	-	NPPES
100743887-0030	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	MD420734 (Pennsylvania)	Secondary
208G00000X	Thoracic Surgery (cardiothoracic Vascular Surgery)	MD420734 (Pennsylvania)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Stephanie Fuller allows following entities to bill medicare on her behalf.

Entity Name	Children's Surgical Associates Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326117185 PECOS PAC ID: 9739083494 Enrollment ID: O20040209000124

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. Stephanie Fuller is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Stephanie Fuller, MD 100 East Penn Square, The Wanamaker Building 9th Fl, Philadelphia, PA 19107-3323 Ph: (267) 425-9538	Stephanie Fuller, MD 34th & Civic Center Blvd, Children's Hospital Of Philadelphia, Philadelphia, PA 19104-4399 Ph: (215) 590-2708

Reviews and Comments

Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in Philadelphia, PA

Kewal Krishan, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 3509 N Broad St, Philadelphia, PA 19140 Phone: 215-707-8484
Andrew S Wechsler, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 230 N Broad St, 744 N Tower, Philadelphia, PA 19102 Phone: 215-762-7802 Fax: 215-762-1858
Dr. Robert K Wenger, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 230 W Washington Sq, Philadelphia, PA 19106 Phone: 215-829-8713 Fax: 215-829-5350
Eros M Leotta, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 3509 N Broad St, Philadelphia, PA 19140 Phone: 215-707-8484 Fax: 215-707-3946
Larry Kaiser, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 3509 N Broad St, Philadelphia, PA 19140 Phone: 215-707-8484 Fax: 215-707-3946
Dr. Verdi J. Disesa, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 3509 N Broad St, Philadelphia, PA 19140 Phone: 215-707-8484 Fax: 215-707-3946
Jarrod D. Predina, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 3400 Civic Center Blvd, West Pavilion 1st Flr, Philadelphia, PA 19104 Phone: 215-615-5864 Fax: 215-349-8432

Stephanie Fuller, MD - Medicare Thoracic Surgery (Cardiothoracic Vascular Surgery) in Philadelphia, PA