Michelle Lynn Fox, MD is a medicare enrolled "Pediatrics" physician in Glen Dale, West Virginia. Her current practice location is
407 Wheeling Ave, Glen Dale, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 845-1500.
Michelle Lynn Fox is licensed to practice in West Virginia (license number 20824) 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 1407843832.
Physician's Profile
| Full Name | Michelle Lynn Fox |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 407 Wheeling Ave, Glen Dale, West Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1407843832
- Provider Enumeration Date: 09/30/2005
- Last Update Date: 04/18/2022
Medicare PECOS Information:
- PECOS PAC ID: 6507935400
- Enrollment ID: I20100122000353
Medical Identifiers
Medical identifiers for Michelle Lynn Fox such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407843832 | NPI | - | NPPES |
| 2003105000 | Medicaid | WV | |
| 20824 | Other | WV | HEALTH PLAN |
| 236944199 | Other | WV | TRICARE |
| 2179887 | Other | WV | FIRST HEALTH |
| 2335486 | Other | WV | OHIO MEDICAID |
| 383653649-001 | Other | WV | MEDICAL MUTUAL |
| 5204621-004 | Other | WV | CIGNA |
| 5445975 | Other | WV | CCN |
| 001716693 | Other | WV | BC BS |
| 20824 | Other | WV | 4-MOST |
| 897797 | Other | WV | MAMSI |
| 186136 | Other | WV | CARELINK |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 20824 (West Virginia) | 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. Michelle Lynn Fox allows following entities to bill medicare on her behalf.
| Entity Name | Reynolds Memorial Hospital, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518068014
PECOS PAC ID: 9830184530
Enrollment ID: O20040420000896 |
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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. Michelle Lynn Fox 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 |
|---|
Michelle Lynn Fox, MD
Po Box 763,
Morgantown, WV 26507-0763
Ph: (800) 541-4009 | Michelle Lynn Fox, MD
407 Wheeling Ave,
Glen Dale, WV 26038-1536
Ph: (304) 845-1500 |
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