Carolyn R Fegenbush, ARNP is a medicare enrolled "Nurse Practitioner" physician in Jeffersonville, Indiana. Her current practice location is
1802 E 10th St, Jeffersonville, Indiana. You can reach out to her office (for appointments etc.) via phone at
(812) 288-2488.
Carolyn R Fegenbush is licensed to practice in Indiana (license number 71001579A) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1629009790.
Physician's Profile
Full Name | Carolyn R Fegenbush |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 1802 E 10th St, Jeffersonville, Indiana |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Carolyn R Fegenbush attended and graduated from in
NPI Data:
- NPI Number: 1629009790
- Provider Enumeration Date: 07/06/2006
- Last Update Date: 11/08/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Carolyn R Fegenbush such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629009790 | NPI | - | NPPES |
2823492000 | Other | | PASSPORT ADVANTAGE |
200451720 | Medicaid | IN | |
50014111 | Other | | PASSPORT |
78010824 | Medicaid | KY | |
P00424435 | Other | | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207QA0401X | Family Medicine - Addiction Medicine | 71001579A (Indiana) | Secondary |
363L00000X | Nurse Practitioner | 71001579A (Indiana) | 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. Carolyn R Fegenbush 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 |
Carolyn R Fegenbush, ARNP 2100 Market St Ste 101, Charlestown, IN 47111-9535 Ph: (812) 503-5100 | Carolyn R Fegenbush, ARNP 1802 E 10th St, Jeffersonville, IN 47130-6016 Ph: (812) 288-2488 |
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