| Katie Fuller, PAC | |
|
810 Valley View Blvd, Altoona, PA 16602-6342 | |
| (814) 946-5469 | |
| Not Available |
| Full Name | Katie Fuller |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 810 Valley View Blvd, Altoona, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457721144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | OA003572 (Pennsylvania) | Secondary |
| 363A00000X | Physician Assistant | MA057654 (Pennsylvania) | Primary |
| Entity Name | Blair Gastroenterology Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295761666 PECOS PAC ID: 4284699257 Enrollment ID: O20041201000706 |
| Entity Name | Dlp Conemaugh Physician Practices LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932515905 PECOS PAC ID: 7315166949 Enrollment ID: O20140915002522 |
| Entity Name | Signify Health Medical Associates PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191216001523 |
| Mailing Address | Practice Location Address |
|---|---|
| Katie Fuller, PAC 810 Valley View Blvd, Altoona, PA 16602-6342 Ph: (814) 946-5469 | Katie Fuller, PAC 810 Valley View Blvd, Altoona, PA 16602-6342 Ph: (814) 946-5469 |
Christopher Holland, Physician Assistant Medicare: Medicare Enrolled Practice Location: 620 Howard Ave, Altoona, PA 16601 Phone: 814-889-2011 |
Deanna Marie Maurer, MPAS, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 620 Howard Ave, Altoona, PA 16601 Phone: 814-942-9600 Fax: 814-942-9617 |
Jenna N Rieg, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 801 Howard Ave, Altoona, PA 16601 Phone: 814-889-3600 |
Rachel Elizabeth Ronczka, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 620 Howard Ave, Altoona, PA 16601 Phone: 814-889-6157 |
Alyssa Marie Martyak, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 801 Valley View Blvd, Altoona, PA 16602 Phone: 814-946-5469 |
Taigen Dalton Hood, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 914 S 12th St, Altoona, PA 16602 Phone: 814-201-2309 |
Mandy K Smith, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1516 9th Ave, Altoona, PA 16602 Phone: 814-889-4244 Fax: 814-889-4124 |