Carly Faith Fuller, - Medicare Physician Assistant in Woodbridge, VA

Carly Faith Fuller, is a medicare enrolled "Physician Assistant - Medical" in Woodbridge, Virginia. Her current practice location is 2300 Opitz Blvd, Woodbridge, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 915-5550.

Carly Faith Fuller is licensed to practice in Virginia (license number 0110007223) 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 1295293611.

Contact Information

Carly Faith Fuller,
2300 Opitz Blvd,
Woodbridge, VA 22191-3311
(703) 915-5550
Not Available

Map and Direction




Provider's Profile

Full NameCarly Faith Fuller
GenderFemale
SpecialityPhysician Assistant - Medical
Location2300 Opitz Blvd, Woodbridge, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295293611
  • Provider Enumeration Date: 03/05/2019
  • Last Update Date: 12/29/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5890178727
  • Enrollment ID: I20220810001555

Medical Identifiers

Medical identifiers for Carly Faith Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295293611NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 0110007223 (Virginia)Secondary
363AM0700XPhysician Assistant - Medical 0110007223 (Virginia)Primary

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. Carly Faith 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 AddressPractice Location Address
Carly Faith Fuller,
2151 Old Brick Rd,
Glen Allen, VA 23060-5837

Ph: () -
Carly Faith Fuller,
2300 Opitz Blvd,
Woodbridge, VA 22191-3311

Ph: (703) 915-5550

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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