Dr Fengyuan Yu, DDS is a medicare enrolled "Military Health Care Provider" provider in Dahlgren, Virginia. His current practice location is
17457 Caffee Rd Ste 204, Dahlgren, Virginia. You can reach out to his office (for appointments etc.) via phone at
(540) 653-4165.
Dr Fengyuan Yu is licensed to practice in Utah (license number 11797305-9921) 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 1215551106.
Healthcare Provider's Profile
Full Name | Dr Fengyuan Yu |
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Gender | Male |
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Speciality | Military Health Care Provider |
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Location | 17457 Caffee Rd Ste 204, Dahlgren, Virginia |
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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: 1215551106
- Provider Enumeration Date: 06/05/2020
- Last Update Date: 08/19/2023
Medicare PECOS Information:
- PECOS PAC ID: 4789056649
- Enrollment ID: I20230202002306
Medical Identifiers
Medical identifiers for Dr Fengyuan Yu such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215551106 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 11797305-9921 (Utah) | Secondary |
171000000X | Military Health Care Provider | 11797305-9921 (Utah) | 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 Fengyuan Yu 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 Fengyuan Yu, DDS 7112 162nd St # 3f, Fresh Meadows, NY 11365-3691 Ph: () - | Dr Fengyuan Yu, DDS 17457 Caffee Rd Ste 204, Dahlgren, VA 22448-5120 Ph: (540) 653-4165 |
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