Dr Charles Kenneth Foulsham Ii, MD is a
Otolaryngology physician based in Lock Haven, Pennsylvania. Dr Charles Kenneth Foulsham Ii is licensed to practice in Pennsylvania (license number MD026474E) and his current practice location is 401 High Street, Lock Haven, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(570) 748-6777.
NPI number for Dr Charles Kenneth Foulsham Ii is 1972669612 and his current mailing address is Po Box 117, Lock Haven, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1972669612.
Physician's Profile
| Full Name | Dr Charles Kenneth Foulsham Ii |
|---|
| Gender | Male |
|---|
| Speciality | Otolaryngology |
|---|
| Location | 401 High Street, Lock Haven, Pennsylvania |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1972669612
- Provider Enumeration Date: 12/28/2006
- Last Update Date: 11/11/2008
Medical Identifiers
Medical identifiers for Dr Charles Kenneth Foulsham Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972669612 | NPI | - | NPPES |
| 058467 | Other | PA | BLUE CROSS BLUE SHIELD |
| 18639 | Other | PA | GEISINGER HEALTH PLAN |
| 0008614940001 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Y00000X | Otolaryngology | MD026474E (Pennsylvania) | 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 Charles Kenneth Foulsham Ii is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Charles Kenneth Foulsham Ii, MD
Po Box 117,
Lock Haven, PA 17745-0117
Ph: (570) 748-6777 | Dr Charles Kenneth Foulsham Ii, MD
401 High Street,
Lock Haven, PA 11774-0117
Ph: (570) 748-6777 |
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