| Brianna Katherine Fuller, PA | |
|
71 Prospect Avenue, Hudson, NY 12534 | |
| (518) 758-6101 | |
| Not Available |
| Full Name | Brianna Katherine Fuller |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 71 Prospect Avenue, Hudson, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215137591 | NPI | - | NPPES |
| 012528 | Other | NY | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 012528 (New York) | Primary |
| Entity Name | New York Oncology Hematology PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609863448 PECOS PAC ID: 3072406222 Enrollment ID: O20040203000652 |
| Entity Name | Brookview Medical Associates PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871965855 PECOS PAC ID: 9537420450 Enrollment ID: O20180309000532 |
| Mailing Address | Practice Location Address |
|---|---|
| Brianna Katherine Fuller, PA 71 Prospect Ave, Hudson, NY 12534-2907 Ph: (518) 758-6101 | Brianna Katherine Fuller, PA 71 Prospect Avenue, Hudson, NY 12534 Ph: (518) 758-6101 |
Joseph A Pazera, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 85 Industrial Tract Anx, Hudson, NY 12534 Phone: 518-828-3324 |
Theresa A Meltz, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 71 Prospect Ave, Suite 210, Hudson, NY 12534 Phone: 518-828-3327 Fax: 518-697-8158 |
Elizabeth Tracy D'amato-neff, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 71 Prospect Ave, Hudson, NY 12534 Phone: 518-828-7601 |
David C Williams, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 71 Prospect Ave, Hudson, NY 12534 Phone: 518-828-7601 |
Robert W Christine, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 802 Columbia St, Suite 2, Hudson, NY 12534 Phone: 518-751-1016 Fax: 518-751-1020 |
Sarah Smith, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 71 Prospect Ave, Hudson, NY 12534 Phone: 518-828-7601 |
Mrs. Judith A Baker, RPA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 23 Fish And Game Rd, Hudson, NY 12534 Phone: 518-828-7644 Fax: 518-828-2320 |