Kelly Lynn Fugok, RD in Danville, PA - Medicare Dietitian, Registered Provider

Kelly Lynn Fugok, RD is a medicare enrolled "Dietitian, Registered - Nutrition, Pediatric" provider in Danville, Pennsylvania. Her current practice location is Geisinger Medical Ctr, 100 North Academy Avenue, Mc 15-09, Danville, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 214-3223.

Kelly Lynn Fugok is licensed to practice in Pennsylvania (license number DN002918) 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 1851643100.

Contact Information

	Kelly Lynn Fugok, RD
	Geisinger Medical Ctr, 100 North Academy Avenue, Mc 15-09, Danville, PA 17822-0001
	(570) 214-3223
	(570) 271-7805

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Lynn Fugok
Gender	Female
Speciality	Dietitian, Registered - Nutrition, Pediatric
Location	Geisinger Medical Ctr, Danville, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851643100
Provider Enumeration Date: 10/11/2012
Last Update Date: 10/11/2012

Medicare PECOS Information:

PECOS PAC ID: 7719122696
Enrollment ID: I20130325000359

Medical Identifiers

Medical identifiers for Kelly Lynn Fugok such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851643100	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	DN002918 (Pennsylvania)	Secondary
133VN1004X	Dietitian, Registered - Nutrition, Pediatric	DN002918 (Pennsylvania)	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. Kelly Lynn Fugok allows following entities to bill medicare on her behalf.

Provider Name	Geisinger Clinic
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518

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. Kelly Lynn Fugok 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
Kelly Lynn Fugok, RD Geisinger Medical Ctr, 100 North Academy Avenue, Mc 15-09, Danville, PA 17822-0001 Ph: (570) 214-3223	Kelly Lynn Fugok, RD Geisinger Medical Ctr, 100 North Academy Avenue, Mc 15-09, Danville, PA 17822-0001 Ph: (570) 214-3223

Reviews and Comments

Dietitian, Registered in Danville, PA

Ms. Denise K Hackman, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-5332
Coryn Kalwanaski, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-214-9032
Ms. Allison M. Naylor, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6439 Fax: 570-271-6852
Emma Wysocki, RDN, PHARMD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 814-659-9795
Ms. Karen Bird, M.S. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6211
Yelena Mariah Share, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6468 Fax: 570-271-7805
Tammy L Mccormick, RD Dietitian Medicare: Medicare Enrolled Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6468

Kelly Lynn Fugok, RD - Medicare Dietitian in Danville, PA