Dr Kelly Marie Van Fossen, DO in Fayetteville, NC

Dr Kelly Marie Van Fossen, DO is a medicare enrolled "Surgery" physician in Fayetteville, North Carolina. She went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 2004 and has 20 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Cumberland County Hospital System Inc and her current practice location is 4140 Ferncreek Drive, Suite 601, Fayetteville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 485-3880.

Dr Kelly Marie Van Fossen is licensed to practice in North Carolina (license number 2009-00374) 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 1396957429.

Contact Information

	Dr Kelly Marie Van Fossen, DO
	4140 Ferncreek Drive, Suite 601, Fayetteville, NC 28314-2569
	(910) 485-3880
	(910) 485-5341

Map and Direction

Physician's Profile

Full Name	Dr Kelly Marie Van Fossen
Gender	Female
Speciality	General Surgery
Experience	20 Years
Location	4140 Ferncreek Drive, Fayetteville, North Carolina
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:

Dr Kelly Marie Van Fossen attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 2004

NPI Data:

NPI Number: 1396957429
Provider Enumeration Date: 05/03/2007
Last Update Date: 06/03/2014

Medicare PECOS Information:

PECOS PAC ID: 2668525148
Enrollment ID: I20090730000565

Medical Identifiers

Medical identifiers for Dr Kelly Marie Van Fossen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396957429	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	2009-00374 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Cape Fear Valley Medical Center	Fayetteville, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Cumberland County Hospital System Inc	1850204041	469

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 Kelly Marie Van Fossen allows following entities to bill medicare on her behalf.

Entity Name	Cumberland County Hospital System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881946242 PECOS PAC ID: 1850204041 Enrollment ID: O20031112000693

Entity Name	Owen Drive Surgical Clinic Of Fayetteville Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598841868 PECOS PAC ID: 5193778124 Enrollment ID: O20050301001001

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 Kelly Marie Van Fossen 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
Dr Kelly Marie Van Fossen, DO 4140 Ferncreek Drive, Suite 601, Fayetteville, NC 28314-2569 Ph: (910) 485-3880	Dr Kelly Marie Van Fossen, DO 4140 Ferncreek Drive, Suite 601, Fayetteville, NC 28314-2569 Ph: (910) 485-3880

Reviews and Comments

Surgery Doctors in Fayetteville, NC

Dr. Marsha Criscio Nelson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1841 Quiet Cv, Fayetteville, NC 28304 Phone: 910-829-6588 Fax: 910-829-6596
David A Goodman, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 4140 Ferncreek Dr, Suite 601, Fayetteville, NC 28314 Phone: 910-485-3880 Fax: 910-485-5341
Dr. Craig F. Copeland, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3322 Starboard Way Apt 102, Fayetteville, NC 28314 Phone: 910-229-2402
Michael Steven Bryant, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1841 Quiet Cv, Fayetteville, NC 28304 Phone: 910-323-2626 Fax: 910-323-3862
Xi Chen, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1726 Metromedical Dr, Fayetteville, NC 28304 Phone: 910-484-2284 Fax: 910-484-1673
Dr. Thomas James Beadle Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1251 Oliver St, Fayetteville, NC 28304 Phone: 910-822-6587 Fax: 910-426-6587
James Mcneil Thomas, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1841 Quiet Cv, Fayetteville, NC 28304 Phone: 910-323-2626 Fax: 910-483-6376

Dr Kelly Marie Van Fossen, DO - Medicare General Surgery in Fayetteville, NC