Kelby Lee Fuller, PA-C is a medicare enrolled "Physician Assistant" in Thurmond, North Carolina. She graduated from nursing school in 2017 and has 8 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Texas Childrens Physician Group and her current practice location is
726 Whisper Ridge Ln, Thurmond, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(336) 469-4662.
Kelby Lee Fuller is licensed to practice in North Carolina (license number 0010-07518) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1780103820.
Provider's Profile
| Full Name | Kelby Lee Fuller |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 8 Years |
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| Location | 726 Whisper Ridge Ln, Thurmond, North Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kelby Lee Fuller graduated from nursing school in 2017
NPI Data:
- NPI Number: 1780103820
- Provider Enumeration Date: 09/10/2017
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 6901238401
- Enrollment ID: I20191122000224
Medical Identifiers
Medical identifiers for Kelby Lee Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780103820 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 0010-07518 (North Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Texas Childrens Physician Group | 4385722081 | 405 |
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. Kelby Lee 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 |
|---|
Kelby Lee Fuller, PA-C
726 Whisper Ridge Ln,
Thurmond, NC 28683-9467
Ph: (336) 469-4662 | Kelby Lee Fuller, PA-C
726 Whisper Ridge Ln,
Thurmond, NC 28683-9467
Ph: (336) 469-4662 |
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