Mr Kevin S Fuller, PA-C in Fairfax, VA - Medicare Physician Assistant

Mr Kevin S Fuller, PA-C is a medicare enrolled "Physician Assistant" in Fairfax, Virginia. His current practice location is 13135 Lee Jackson Memorial Hwy Ste 305, Fairfax, Virginia. You can reach out to his office (for appointments etc.) via phone at (703) 359-8640.

Mr Kevin S Fuller is licensed to practice in Virginia (license number 0110001208) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1417119652.

Contact Information

	Mr Kevin S Fuller, PA-C
	13135 Lee Jackson Memorial Hwy Ste 305, Fairfax, VA 22033-1907
	(703) 359-8640
	(703) 591-6105

Map and Direction

Provider's Profile

Full Name	Mr Kevin S Fuller
Gender	Male
Speciality	Physician Assistant
Location	13135 Lee Jackson Memorial Hwy Ste 305, Fairfax, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417119652
Provider Enumeration Date: 06/30/2008
Last Update Date: 04/21/2021

Medicare PECOS Information:

PECOS PAC ID: 6305910746
Enrollment ID: I20080804000450

Medical Identifiers

Medical identifiers for Mr Kevin S Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417119652	NPI	-	NPPES
0110001208	Other	VA	LICENSE NUMBER
1417119652	Medicaid	VA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	0110001208 (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. Mr Kevin S 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
Mr Kevin S Fuller, PA-C Po Box 37174, Baltimore, MD 21297-3174 Ph: (571) 423-5699	Mr Kevin S Fuller, PA-C 13135 Lee Jackson Memorial Hwy Ste 305, Fairfax, VA 22033-1907 Ph: (703) 359-8640

Reviews and Comments

Physician Assistant Nurses in Fairfax, VA

Ms. Kristin Dermody Maggi, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3700 Joseph Siewick Dr, Suite 308, Fairfax, VA 22033 Phone: 703-698-8960 Fax: 703-716-8703
Alissa Mills, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 8081 Innovation Park Dr Ste 765, Fairfax, VA 22031 Phone: 571-472-1717 Fax: 571-472-1718
Laura R Rejent, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3600 Joseph Siewick Dr, Fairfax, VA 22033 Phone: 703-391-3600 Fax: 703-391-3414
Mrs. Sylvia Susan Sarin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12011 Lee Jackson Memorial Hwy, Fairfax, VA 22033 Phone: 703-383-5443
Allyson L Ricciardiello, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3020 Hamaker Ct Ste 401, Fairfax, VA 22031 Phone: 703-849-0770 Fax: 703-849-0774
Drew Christopher Venuto, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3580 Joseph Siewick Dr Ste 305, Fairfax, VA 22033 Phone: 703-648-3266 Fax: 703-648-3264
Danielle M Eganhouse, P.A.- C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13135 Lee Jackson Memorial Hwy Ste 305, Fairfax, VA 22033 Phone: 703-359-8640 Fax: 703-591-6105

Mr Kevin S Fuller, PA-C - Medicare Physician Assistant in Fairfax, VA