Mrs Hannah Nicole Fugate, MD is a medicare enrolled "Pediatrics" physician in Fort Wainwright, Alaska. Her current practice location is
4076 Neely Road, Fort Wainwright, Alaska. You can reach out to her office (for appointments etc.) via phone at
(907) 361-5172.
Mrs Hannah Nicole Fugate is licensed to practice in Nebraska (license number 34943) 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 1629661426.
Physician's Profile
Full Name | Mrs Hannah Nicole Fugate |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 4076 Neely Road, Fort Wainwright, 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: 1629661426
- Provider Enumeration Date: 02/12/2021
- Last Update Date: 08/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 0244604049
- Enrollment ID: I20230317001441
Medical Identifiers
Medical identifiers for Mrs Hannah Nicole Fugate such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629661426 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 34943 (Nebraska) | Primary |
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. Mrs Hannah Nicole Fugate 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 |
Mrs Hannah Nicole Fugate, MD 9040 Jackson Ave, Tacoma, WA 98431-0001 Ph: (253) 968-3066 | Mrs Hannah Nicole Fugate, MD 4076 Neely Road, Fort Wainwright, AK 99703 Ph: (907) 361-5172 |
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