Dr David Randal Fohan, MD, DMD is a medicare enrolled "Internal Medicine" provider in Ft Wainwright, Alaska. His current practice location is
1060 Gaffney Rd #7440, Bassett Army Community Hospital, Ft Wainwright, Alaska. You can reach out to his office (for appointments etc.) via phone at
(907) 361-6028.
Dr David Randal Fohan is licensed to practice in Georgia (license number 034591) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1710954854.
Healthcare Provider's Profile
Full Name | Dr David Randal Fohan |
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Gender | Male |
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Speciality | Internal Medicine |
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Location | 1060 Gaffney Rd #7440, Ft Wainwright, Alaska |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1710954854
- Provider Enumeration Date: 03/08/2006
- Last Update Date: 07/31/2017
Medicare PECOS Information:
- PECOS PAC ID: 7315903846
- Enrollment ID: I20141022001858
Medical Identifiers
Medical identifiers for Dr David Randal Fohan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710954854 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | DN009804 (Florida) | Secondary |
207R00000X | Internal Medicine | 00015943 (Alabama) | Secondary |
207R00000X | Internal Medicine | 034591 (Georgia) | 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. Dr David Randal Fohan 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 |
Dr David Randal Fohan, MD, DMD 3010 Castlewoods Dr, Macon, GA 31204-1474 Ph: () - | Dr David Randal Fohan, MD, DMD 1060 Gaffney Rd #7440, Bassett Army Community Hospital, Ft Wainwright, AK 99703-1474 Ph: (907) 361-6028 |
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