Stephanie Fuller, MD in Philadelphia, PA - Medicare Thoracic Surgery

Stephanie Fuller, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Philadelphia, Pennsylvania. She went to Eastern Virginia Medical School and graduated in 1999 and has 26 years of diverse experience with area of expertise as Thoracic Surgery. She is a member of the group practice Children's Surgical Associates Ltd and 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 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 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
Experience	26 Years
Location	34th & Civic Center Blvd, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Stephanie Fuller attended and graduated from Eastern Virginia Medical School in 1999

NPI Data:

NPI Number: 1013115930
Provider Enumeration Date: 07/03/2007
Last Update Date: 11/12/2025

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

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Hospital Of Univ Of Pennsylvania	Philadelphia, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Children's Surgical Associates Ltd	9739083494	37

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 6201 Greenleigh Ave, Middle River, MD 21220-2004 Ph: (410) 955-5000	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
Cecillia Chin, Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1025 Walnut St Ste 607, Philadelphia, PA 19107 Phone: 215-955-6996
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: Not Enrolled in Medicare 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

Stephanie Fuller, MD - Medicare Thoracic Surgery in Philadelphia, PA