Dr Martha Sue Fanning, MD in Overland Park, KS

Dr Martha Sue Fanning, MD is a medicare enrolled "Emergency Medicine" physician in Overland Park, Kansas. Her current practice location is 12300 Metcalf Ave, Overland Park, Kansas. You can reach out to her office (for appointments etc.) via phone at (913) 317-7485.

Dr Martha Sue Fanning is licensed to practice in Kansas (license number 04-26640) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1073514733.

Contact Information

	Dr Martha Sue Fanning, MD
	12300 Metcalf Ave, Overland Park, KS 66213-1324
	(913) 317-7485
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Martha Sue Fanning
Gender	Female
Speciality	Emergency Medicine
Location	12300 Metcalf Ave, Overland Park, Kansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073514733
Provider Enumeration Date: 08/03/2005
Last Update Date: 06/29/2021

Medicare PECOS Information:

PECOS PAC ID: 5799741245
Enrollment ID: I20100505000662

Medical Identifiers

Medical identifiers for Dr Martha Sue Fanning such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073514733	NPI	-	NPPES
100333210C	Medicaid	KS
24548088	Other	MO	BCBS KC MO
01674018	Other	KS	BCBS KC MO GRP 01674018
100333210E	Medicaid	KS
24548068	Other	KS	BCBS KC MO
P00278183	Other		RR MEDICARE GROUP DC6712
208531038	Medicaid	MO
930072754	Other		RR MEDICARE GROUP CC8899

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	04-26640 (Kansas)	Primary

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 Martha Sue Fanning allows following entities to bill medicare on her behalf.

Entity Name	Er Physicians South, P.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194100057 PECOS PAC ID: 2860458544 Enrollment ID: O20051101000964

Entity Name	Em Specialists Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801112743 PECOS PAC ID: 1153452644 Enrollment ID: O20100628000352

Entity Name	Kansas Medical Professionals Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629778766 PECOS PAC ID: 6800261181 Enrollment ID: O20230419001909

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 Martha Sue Fanning 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 Martha Sue Fanning, MD Po Box 411039, Kansas City, MO 64141-1039 Ph: (913) 234-1350	Dr Martha Sue Fanning, MD 12300 Metcalf Ave, Overland Park, KS 66213-1324 Ph: (913) 317-7485

Reviews and Comments

Emergency Medicine Doctors in Overland Park, KS

Patricia D Logan, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5721 W 119th St, Emergency Department, Overland Park, KS 66209 Phone: 913-469-1488 Fax: 913-469-1441
Jonathan S. Finks, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 12541 Foster St Ste 300, Overland Park, KS 66213 Phone: 913-317-3200 Fax: 913-317-3218
Dr. Brian Lee Freeman, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 12300 Metcalf Ave, Overland Park, KS 66213 Phone: 913-484-0772
Dr. Bradley Chapman, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 10500 Quivira Rd, Overland Park, KS 66215 Phone: 913-541-5000
Kelli M Craven, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 10500 Quivira Rd, Emergency Department, Overland Park, KS 66215 Phone: 913-469-4244 Fax: 913-469-1939
Dr. Charles L Gerwick, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 12300 Metcalf Ave, Overland Park, KS 66213 Phone: 913-317-7485

Dr Martha Sue Fanning, MD - Medicare Emergency Medicine in Overland Park, KS