Dr Donald Duane Vanfossan, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Jackson, California. He went to Saint Louis University School Of Medicine and graduated in 1985 and has 39 years of diverse experience with area of expertise as Neurology. He is a member of the group practice Sutter Valley Medical Foundation and his current practice location is
201 Clinton Rd, Suite 106, Jackson, California. You can reach out to his office (for appointments etc.) via phone at
(209) 223-3021.
Dr Donald Duane Vanfossan is licensed to practice in California (license number 00G577420) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1336219930.
Physician's Profile
| Full Name | Dr Donald Duane Vanfossan |
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| Gender | Male |
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| Speciality | Neurology |
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| Experience | 39 Years |
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| Location | 201 Clinton Rd, Jackson, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Donald Duane Vanfossan attended and graduated from Saint Louis University School Of Medicine in 1985
NPI Data:
- NPI Number: 1336219930
- Provider Enumeration Date: 11/09/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 0941201644
- Enrollment ID: I20080416000563
Medical Identifiers
Medical identifiers for Dr Donald Duane Vanfossan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1336219930 | NPI | - | NPPES |
| 00G577420 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084N0400X | Psychiatry & Neurology - Neurology | 00G577420 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Sutter Valley Medical Foundation | 9830094515 | 1919 |
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. Dr Donald Duane Vanfossan allows following entities to bill medicare on his behalf.
| Entity Name | Mark Twain Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508968819
PECOS PAC ID: 8820073711
Enrollment ID: O20061006000227 |
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| Entity Name | Sutter Valley Medical Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669846986
PECOS PAC ID: 9830094515
Enrollment ID: O20090311000335 |
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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. Dr Donald Duane Vanfossan 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 |
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Dr Donald Duane Vanfossan, MD
19200 Mountain View Way,
Volcano, CA 95689-9707
Ph: (209) 296-3163 | Dr Donald Duane Vanfossan, MD
201 Clinton Rd, Suite 106,
Jackson, CA 95642-2648
Ph: (209) 223-3021 |
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