Dr Marvin R Fetter, MD is a medicare enrolled "Orthopaedic Surgery" physician in Bemidji, Minnesota. His current practice location is
1300 Anne St Nw, Bemidji, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(218) 751-9746.
Dr Marvin R Fetter is licensed to practice in Illinois (license number 036-045536) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1922090901.
Physician's Profile
Full Name | Dr Marvin R Fetter |
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Gender | Male |
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Speciality | Orthopaedic Surgery |
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Location | 1300 Anne St Nw, Bemidji, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1922090901
- Provider Enumeration Date: 08/17/2005
- Last Update Date: 05/05/2014
Medicare PECOS Information:
- PECOS PAC ID: 4183526577
- Enrollment ID: I20100907000895
Medical Identifiers
Medical identifiers for Dr Marvin R Fetter such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922090901 | NPI | - | NPPES |
34444000 | Medicaid | WI | |
03604536 | Medicaid | IL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207X00000X | Orthopaedic Surgery | 036-045536 (Illinois) | Primary |
207X00000X | Orthopaedic Surgery | 39401-020 (Wisconsin) | Secondary |
207X00000X | Orthopaedic Surgery | 54685 (Minnesota) | Secondary |
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 Marvin R Fetter allows following entities to bill medicare on his behalf.
Entity Name | Aspirus Stevens Point Hospital & Clinics, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1538112230 PECOS PAC ID: 1850358938 Enrollment ID: O20041210000558 |
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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 Marvin R Fetter 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 Marvin R Fetter, MD 1300 Anne St Nw, Bemidji, MN 56601-5103 Ph: (218) 751-9746 | Dr Marvin R Fetter, MD 1300 Anne St Nw, Bemidji, MN 56601-5103 Ph: (218) 751-9746 |
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