Katherine Fossman, RDN, LD is a medicare enrolled "Dietitian, Registered" provider in Haines, Alaska. Her current practice location is
55 Haines Hwy, Box 887, Haines, Alaska. You can reach out to her office (for appointments etc.) via phone at
(860) 335-3733.
Katherine Fossman is licensed to practice in Alaska (license number 101197) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1275914921.
Healthcare Provider's Profile
Full Name | Katherine Fossman |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 55 Haines Hwy, Haines, 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: 1275914921
- Provider Enumeration Date: 06/17/2015
- Last Update Date: 11/17/2022
Medicare PECOS Information:
- PECOS PAC ID: 5991019432
- Enrollment ID: I20160818002108
Medical Identifiers
Medical identifiers for Katherine Fossman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275914921 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 101197 (Alaska) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Katherine Fossman allows following entities to bill medicare on her behalf.
Provider Name | Southeast Alaska Regional Health Consortium |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1376758037 PECOS PAC ID: 1456265362 Enrollment ID: O20031114000631 |
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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. Katherine Fossman 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 |
Katherine Fossman, RDN, LD Po Box 233, Haines, AK 99827-0233 Ph: () - | Katherine Fossman, RDN, LD 55 Haines Hwy, Box 887, Haines, AK 99827-9800 Ph: (860) 335-3733 |
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