Dr Todd Capistrant, DO is a medicare enrolled "Neuromusculoskeletal Medicine & Omm" physician in Fairbanks, Alaska. He went to Des Moines University Of Osteopathic Medicine And Health Sciences and graduated in 1997 and has 27 years of diverse experience with area of expertise as Osteopathic Manipulative Medicine. He is a member of the group practice Tanana Valley Clinic Llc and his current practice location is
1001 Noble St, Fairbanks, Alaska. You can reach out to his office (for appointments etc.) via phone at
(907) 458-2682.
Dr Todd Capistrant is licensed to practice in Alaska (license number 5183) 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 1710931613.
Physician's Profile
| Full Name | Dr Todd Capistrant |
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| Gender | Male |
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| Speciality | Osteopathic Manipulative Medicine |
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| Experience | 27 Years |
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| Location | 1001 Noble St, Fairbanks, Alaska |
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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 Todd Capistrant attended and graduated from Des Moines University Of Osteopathic Medicine And Health Sciences in 1997
NPI Data:
- NPI Number: 1710931613
- Provider Enumeration Date: 05/22/2006
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 2961301635
- Enrollment ID: I20040102000245
Medical Identifiers
Medical identifiers for Dr Todd Capistrant such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710931613 | NPI | - | NPPES |
| 1013836 | Medicaid | AK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 5183 (Alaska) | Secondary |
| 204D00000X | Neuromusculoskeletal Medicine & Omm | 5183 (Alaska) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Tanana Valley Clinic Llc | 5698056901 | 106 |
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 Todd Capistrant allows following entities to bill medicare on his behalf.
| Entity Name | Tanana Valley Clinic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922559558
PECOS PAC ID: 5698056901
Enrollment ID: O20161228001991 |
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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 Todd Capistrant 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 Todd Capistrant, DO
1001 Noble St,
Fairbanks, AK 99701-4922
Ph: (907) 459-3500 | Dr Todd Capistrant, DO
1001 Noble St,
Fairbanks, AK 99701-4922
Ph: (907) 458-2682 |
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