Laurie Elizabeth Fenderson, CPNP is a medicare enrolled "Nurse Practitioner - Pediatrics" physician in Anchorage, Alaska. Her current practice location is
Alaska Native Medical Center, 4315 Diplomacy Drive, Anchorage, Alaska. You can reach out to her office (for appointments etc.) via phone at
(907) 729-1070.
Laurie Elizabeth Fenderson is licensed to practice in Texas (license number 681462) 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 1962625921.
Physician's Profile
Full Name | Laurie Elizabeth Fenderson |
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Gender | Female |
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Speciality | Nurse Practitioner - Pediatrics |
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Location | Alaska Native Medical Center, Anchorage, Alaska |
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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: 1962625921
- Provider Enumeration Date: 04/10/2007
- Last Update Date: 07/10/2019
Medicare PECOS Information:
- PECOS PAC ID: 9032123310
- Enrollment ID: I20111221000757
Medical Identifiers
Medical identifiers for Laurie Elizabeth Fenderson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962625921 | NPI | - | NPPES |
287667401 | Medicaid | TX | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 0050-00974 (North Carolina) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | 681462 (Texas) | 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. Laurie Elizabeth Fenderson allows following entities to bill medicare on her behalf.
Entity Name | Alaska Native Tribal Health Consortium |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1437189339 PECOS PAC ID: 6709780265 Enrollment ID: O20031125000772 |
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Entity Name | Southcentral Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1780614263 PECOS PAC ID: 5496663627 Enrollment ID: O20051027000416 |
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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. Laurie Elizabeth Fenderson 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 |
Laurie Elizabeth Fenderson, CPNP 8505 Skyhills Dr, Anchorage, AK 99502-3993 Ph: (512) 800-0391 | Laurie Elizabeth Fenderson, CPNP Alaska Native Medical Center, 4315 Diplomacy Drive, Anchorage, AK 99508 Ph: (907) 729-1070 |
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