Andrea M Fasullo, MD - Pediatrics in Federal Way, WA

Andrea M Fasullo, MD is a Pediatrics physician based in Federal Way, Washington. Andrea M Fasullo is licensed to practice in Washington (license number MD00036355) and her current practice location is 33501 1st Way S, Federal Way, Washington. She can be reached at her office (for appointments etc.) via phone at (253) 838-2400.

NPI number for Andrea M Fasullo is 1588689491 and her current mailing address is 1100 Olive Way Msc M4-pa, Seattle, Washington. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1588689491.

Contact Information

Andrea M Fasullo, MD
33501 1st Way S,
Federal Way, WA 98003-6208
(253) 838-2400
Not Available



Physician's Profile

Full NameAndrea M Fasullo
GenderFemale
SpecialityPediatrics
Location33501 1st Way S, Federal Way, Washington
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1588689491
  • Provider Enumeration Date: 07/12/2006
  • Last Update Date: 04/10/2008

Medical Identifiers

Medical identifiers for Andrea M Fasullo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588689491NPI-NPPES
MA9229OtherWABLUE SHIELD
US1037387OtherWAAETNA/USHC SPECIALIST
0039577OtherWALABOR & INDUSTRY
8232092MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MD00036355 (Washington)Primary

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. Andrea M Fasullo is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Andrea M Fasullo, MD
1100 Olive Way Msc M4-pa,
Seattle, WA 98101-1873

Ph: () -
Andrea M Fasullo, MD
33501 1st Way S,
Federal Way, WA 98003-6208

Ph: (253) 838-2400

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› Verified 7 days ago


Pediatrics Doctors in Federal Way, WA

Catherine Delostrinos, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 301 S 320th St, Federal Way, WA 98003
Phone: 253-874-7000    
Corrie L Takahashi, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 33501 1st Way S, Ms: A-so, Federal Way, WA 98003
Phone: 253-838-2400    Fax: 253-874-1637
Pamela L. Mouser, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 301 S 320th St, Federal Way, WA 98003
Phone: 253-874-7000    
John Apostol, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 34503 9th Ave South, #220, Federal Way, WA 98003
Phone: 253-927-3243    Fax: 253-627-0855
Deborah Ann Rodriguez, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 34503 9th Ave South, #220, Federal Way, WA 98003
Phone: 253-927-3243    Fax: 253-627-0855
Jonathan R Fox, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 33501 1st Way S, Federal Way, WA 98003
Phone: 253-838-2400    
Minh-y Ngoc Canh, D.O.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 33431 13th Pl S, Federal Way, WA 98003
Phone: 253-815-8040    

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