Traci Ann Fuller, PA - Physician Assistant in Cincinnati, OH

Traci Ann Fuller, PA is a Physician Assistant - Surgical based in Cincinnati, Ohio. Traci Ann Fuller is licensed to practice in Ohio (license number 50003781) and her current practice location is 6480 Harrison Ave, Suite 100, Cincinnati, Ohio. She can be reached at her office (for appointments etc.) via phone at (513) 354-3700.

NPI number for Traci Ann Fuller is 1487961231 and her current mailing address is 6480 Harrison Ave, Suite 100, Cincinnati, Ohio. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487961231.

Contact Information

Traci Ann Fuller, PA
6480 Harrison Ave, Suite 100,
Cincinnati, OH 45247-7961
(513) 354-3700
(513) 354-7651



Provider's Profile

Full NameTraci Ann Fuller
GenderFemale
SpecialityPhysician Assistant - Surgical
Location6480 Harrison Ave, Cincinnati, Ohio
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1487961231
  • Provider Enumeration Date: 08/31/2010
  • Last Update Date: 06/21/2013

Medical Identifiers

Medical identifiers for Traci Ann Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487961231NPI-NPPES
50003781OtherOHMEDICAL LICENSE
006385OtherGASTATE MEDICAL LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 006385 (Georgia)Secondary
363AS0400XPhysician Assistant - Surgical 006385 (Georgia)Secondary
363AS0400XPhysician Assistant - Surgical 50003781 (Ohio)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. Traci Ann Fuller 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
Traci Ann Fuller, PA
6480 Harrison Ave, Suite 100,
Cincinnati, OH 45247-7961

Ph: (513) 354-3700
Traci Ann Fuller, PA
6480 Harrison Ave, Suite 100,
Cincinnati, OH 45247-7961

Ph: (513) 354-3700

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Physician Assistant Nurses in Cincinnati, OH

Mrs. Cara M. Zurmehly, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1275 E Kemper Rd, Cincinnati, OH 45246
Phone: 513-671-3101    
Joseph D Pandiscia, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 234 Goodman St, Cincinnati, OH 45219
Phone: 513-475-8690    Fax: 513-475-7257
Jennifer L Ruppersberg, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1115 Asbury Rd, Cincinnati, OH 45255
Phone: 207-330-6411    
Elizabeth A Gaitley, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3219 Clifton Ave Ste 100, Cincinnati, OH 45220
Phone: 513-862-1888    Fax: 513-862-3616
Mr. Casey Mcconnell Gilmore, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 375 Dixmyth Ave, Department Of Emergency Medicine, Cincinnati, OH 45220
Phone: 513-862-2989    
Mrs. Megan Elizabeth Hood, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 3333 Burnet Ave, Ml 5037, Cincinnati, OH 45229
Phone: 513-636-4975    Fax: 513-636-6753
Bernard Tippen, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 7981 Beechmont Ave, Cincinnati, OH 45255
Phone: 513-475-8690    Fax: 513-929-7239

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