Alexander Fuller, PA-C is a medicare enrolled "Physician Assistant" in Eastport, New York. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Stony Brook Internists University Faculty Practice Corporation and his current practice location is
21 Eastport Manor Rd, Eastport, New York. You can reach out to his office (for appointments etc.) via phone at
(631) 325-2255.
Alexander Fuller is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1134761778.
Provider's Profile
| Full Name | Alexander Fuller |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 5 Years |
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| Location | 21 Eastport Manor Rd, Eastport, New York |
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| Accepts Medicare Assignments | Yes. He 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:
- Alexander Fuller graduated from nursing school in 2019
NPI Data:
- NPI Number: 1134761778
- Provider Enumeration Date: 10/15/2019
- Last Update Date: 10/15/2019
Medicare PECOS Information:
- PECOS PAC ID: 8224430475
- Enrollment ID: I20210709001427
Medical Identifiers
Medical identifiers for Alexander Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1134761778 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Stony Brook Internists University Faculty Practice Corporation | 9133019821 | 362 |
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. Alexander 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 |
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Alexander Fuller, PA-C
25 Richie Ct N,
Saint James, NY 11780-3151
Ph: (631) 793-0971 | Alexander Fuller, PA-C
21 Eastport Manor Rd,
Eastport, NY 11941-1410
Ph: (631) 325-2255 |
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