Mrs Tracy C Fuller, PA-C in Evanston, IL - Medicare Physician Assistant

Mrs Tracy C Fuller, PA-C is a medicare enrolled "Physician Assistant" in Evanston, Illinois. Her current practice location is 2650 Ridge Ave, Emergency Department: Physician Assistants, Evanston, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 570-1353.

Mrs Tracy C Fuller is licensed to practice in Illinois (license number 085.004406) 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 1386994408.

Contact Information

	Mrs Tracy C Fuller, PA-C
	2650 Ridge Ave, Emergency Department: Physician Assistants, Evanston, IL 60201-1718
	(847) 570-1353
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Tracy C Fuller
Gender	Female
Speciality	Physician Assistant
Location	2650 Ridge Ave, Evanston, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386994408
Provider Enumeration Date: 09/17/2012
Last Update Date: 03/23/2018

Medicare PECOS Information:

PECOS PAC ID: 1850611039
Enrollment ID: I20150529001310

Medical Identifiers

Medical identifiers for Mrs Tracy C Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386994408	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	085.004406 (Illinois)	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. Mrs Tracy C 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
Mrs Tracy C Fuller, PA-C 2650 Ridge Ave, Emergency Department: Physician Assistants, Evanston, IL 60201-1718 Ph: () -	Mrs Tracy C Fuller, PA-C 2650 Ridge Ave, Emergency Department: Physician Assistants, Evanston, IL 60201-1718 Ph: (847) 570-1353

Reviews and Comments

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Mrs Tracy C Fuller, PA-C - Medicare Physician Assistant in Evanston, IL