Isaac Fuller, is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Columbia, South Carolina. He graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Prisma Health Medical Group-midlands and his current practice location is
14 Richland Medical Park Dr Ste 320, Columbia, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(803) 434-6771.
Isaac 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 1427806116.
Provider's Profile
| Full Name | Isaac Fuller |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 1 Years |
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| Location | 14 Richland Medical Park Dr Ste 320, Columbia, South Carolina |
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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:
- Isaac Fuller graduated from nursing school in 2025
NPI Data:
- NPI Number: 1427806116
- Provider Enumeration Date: 05/08/2024
- Last Update Date: 02/11/2026
Medicare PECOS Information:
- PECOS PAC ID: 3173001724
- Enrollment ID: I20260204000553
Medical Identifiers
Medical identifiers for Isaac Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427806116 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 6177 (South Carolina) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Prisma Health Medical Group-midlands | 5991099707 | 1032 |
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. Isaac 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 |
|---|
Isaac Fuller,
300 E Mcbee Ave Fl 4,
Greenville, SC 29601-2842
Ph: (803) 434-6771 | Isaac Fuller,
14 Richland Medical Park Dr Ste 320,
Columbia, SC 29203-6896
Ph: (803) 434-6771 |
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