Kristopher Zephinar Fannin, MD in Louisville, KY

Kristopher Zephinar Fannin, MD is a medicare enrolled "Family Medicine" physician in Louisville, Kentucky. He went to University Of Louisville School Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Community Medical Associates Inc and his current practice location is 3101 Poplar Level Rd Ste 101, Louisville, Kentucky. You can reach out to his office (for appointments etc.) via phone at (502) 636-7444.

Kristopher Zephinar Fannin is licensed to practice in Kentucky (license number 45200) 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 1477795920.

Contact Information

	Kristopher Zephinar Fannin, MD
	3101 Poplar Level Rd Ste 101, Louisville, KY 40213-1076
	(502) 636-7444
	(502) 636-7112

Map and Direction

Physician's Profile

Full Name	Kristopher Zephinar Fannin
Gender	Male
Speciality	Family Practice
Experience	15 Years
Location	3101 Poplar Level Rd Ste 101, Louisville, Kentucky
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kristopher Zephinar Fannin attended and graduated from University Of Louisville School Of Medicine in 2009

NPI Data:

NPI Number: 1477795920
Provider Enumeration Date: 03/30/2009
Last Update Date: 03/22/2024

Medicare PECOS Information:

PECOS PAC ID: 3870740483
Enrollment ID: I20120904000041

Medical Identifiers

Medical identifiers for Kristopher Zephinar Fannin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477795920	NPI	-	NPPES
7100138510	Medicaid	KY
201107020	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	R2574 (Kentucky)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207Q00000X	Family Medicine	45200 (Kentucky)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Norton Home Health	Louisville, KY	Home health agency
Norton Hospitals, Inc	Louisville, KY	Hospital
Baptist Health Louisville	Louisville, KY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Community Medical Associates Inc	7012811284	1179

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. Kristopher Zephinar Fannin allows following entities to bill medicare on his behalf.

Entity Name	Community Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588614994 PECOS PAC ID: 7012811284 Enrollment ID: O20031120000656

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. Kristopher Zephinar Fannin 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
Kristopher Zephinar Fannin, MD Po Box 776351, Chicago, IL 60677-6351 Ph: (502) 588-9490	Kristopher Zephinar Fannin, MD 3101 Poplar Level Rd Ste 101, Louisville, KY 40213-1076 Ph: (502) 636-7444

Reviews and Comments

Family Medicine Doctors in Louisville, KY

Jaivanti Lohano, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2215 Portland Ave, Louisville, KY 40212 Phone: 502-774-8631 Fax: 502-778-3499
John L Markert, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1169 Eastern Pkwy Ste 2265, Louisville, KY 40217 Phone: 502-635-7455 Fax: 502-634-9296
Dr. Jerry Randolph Smith, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3015 Wilson Ave, Park Duvalle Cnc, Louisville, KY 40211 Phone: 502-774-4401 Fax: 502-772-4783
Dr. Jill Marie Jacobs, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8019 Dixie Hwy Ste 101, Louisville, KY 40258 Phone: 502-254-3898
Chassidy Weatherford, APRN Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4950 Norton Healthcare Blvd, Louisville, KY 40241 Phone: 502-394-6350
Michael James Gaffney, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3532 Ephraim Mcdowell Drive, Louisville, KY 40205 Phone: 502-456-6200 Fax: 502-456-6655
Veronica Anne Kavorkian, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2701 Chamberlain Ln, Louisville, KY 40245 Phone: 502-243-9044 Fax: 502-243-8482

Kristopher Zephinar Fannin, MD - Medicare Family Practice in Louisville, KY