Marion Arthur Fossum, MD in Medical Lake, WA - Medicare Psychiatry & Neurology

Marion Arthur Fossum, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Medical Lake, Washington. His current practice location is 1717 S Ritchey Rd, Medical Lake, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 590-8766.

Marion Arthur Fossum is licensed to practice in Missouri (license number 2024012104) 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 1356875736.

Contact Information

	Marion Arthur Fossum, MD
	1717 S Ritchey Rd, Medical Lake, WA 99022-8792
	(509) 590-8766
	Not Available

Map and Direction

Physician's Profile

Full Name	Marion Arthur Fossum
Gender	Male
Speciality	Psychiatry & Neurology - Neurology
Location	1717 S Ritchey Rd, Medical Lake, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356875736
Provider Enumeration Date: 04/12/2017
Last Update Date: 07/12/2024

Medicare PECOS Information:

PECOS PAC ID: 0244772507
Enrollment ID: I20240603001900

Medical Identifiers

Medical identifiers for Marion Arthur Fossum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356875736	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084E0001X	Psychiatry & Neurology - Epilepsy	61254901 (Washington)	Secondary
2084N0400X	Psychiatry & Neurology - Neurology	61254901 (Washington)	Secondary
2084N0400X	Psychiatry & Neurology - Neurology	2024-00610 (North Carolina)	Secondary
2084N0600X	Psychiatry & Neurology - Clinical Neurophysiology	61254901 (Washington)	Secondary
2084N0400X	Psychiatry & Neurology - Neurology	2024012104 (Missouri)	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. Marion Arthur Fossum allows following entities to bill medicare on his behalf.

Entity Name	Freeman-oak Hill Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891809679 PECOS PAC ID: 8325942253 Enrollment ID: O20040107000022

Entity Name	Freeman-oak Hill Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679517023 PECOS PAC ID: 8325942253 Enrollment ID: O20040218000570

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. Marion Arthur Fossum 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
Marion Arthur Fossum, MD 1717 S Ritchey Rd, Medical Lake, WA 99022-8792 Ph: (509) 590-8766	Marion Arthur Fossum, MD 1717 S Ritchey Rd, Medical Lake, WA 99022-8792 Ph: (509) 590-8766

Reviews and Comments

Psychiatry & Neurology Doctors in Medical Lake, WA

Laura J. Baehner, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 850 Maple Street, Medical Lake, WA 99022 Phone: 509-565-4000 Fax: 509-565-4705
Dr. Samaya Cassandra Lovegood, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 850 Maple Street, Medical Lake, WA 99022 Phone: 509-565-4000 Fax: 509-565-4705
Dr. Averly H Nelson, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 850 Maple Street, Eastern State Hospital, Medical Lake, WA 99022 Phone: 509-565-4000 Fax: 509-565-4705
Dr. Evangeline V Dacanay, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 800 West Maple Street, Medical Lake, WA 99022 Phone: 509-299-3121 Fax: 509-299-7015
Dr. Muneeb Malik, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 850 W Maple St, Medical Lake, WA 99022 Phone: 509-565-4000
Dr. Lesley M. Blake, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 850 Maple Street, Medical Lake, WA 99022 Phone: 509-299-3121 Fax: 509-299-7015

Marion Arthur Fossum, MD - Medicare Psychiatry & Neurology in Medical Lake, WA