The Fearless Fork, Inc. is a medicare enrolled "Dietitian, Registered" provider in Orland, Maine. Their current practice location is
21 School House Rd Ste 14, Orland, Maine. You can reach out to their office (for appointments etc.) via phone at
(207) 752-2341.
The Fearless Fork, Inc. is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. The Fearless Fork, Inc.
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1265885529.
Healthcare Provider's Profile
| Full Name | The Fearless Fork, Inc. |
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| Type | Facility |
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| Speciality | Dietitian, Registered |
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| Location | 21 School House Rd Ste 14, Orland, Maine |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1265885529
- Provider Enumeration Date: 07/21/2016
- Last Update Date: 11/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 9830485051
- Enrollment ID: O20160914000426
Medical Identifiers
Medical identifiers for The Fearless Fork, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265885529 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
The Fearless Fork, Inc. acts as a billing entity for following providers:
| Provider Name | Marybeth Judy |
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| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
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| Provider Identifiers | NPI Number: 1790901197
PECOS PAC ID: 0749576965
Enrollment ID: I20160914000934 |
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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. The Fearless Fork, Inc. 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 |
|---|
The Fearless Fork, Inc.
21 School House Rd Ste 14,
Orland, ME 04472-3966
Ph: (297) 752-2341 | The Fearless Fork, Inc.
21 School House Rd Ste 14,
Orland, ME 04472-3966
Ph: (207) 752-2341 |
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