Rebecca J Hafner-fogarty, MD is a medicare enrolled "Family Medicine" physician in Avon, Minnesota. Her current practice location is
33491 135th Ave, Avon, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(320) 356-1019.
Rebecca J Hafner-fogarty is licensed to practice in Minnesota (license number 25004) 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 1497783963.
Physician's Profile
Full Name | Rebecca J Hafner-fogarty |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 33491 135th Ave, Avon, Minnesota |
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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: 1497783963
- Provider Enumeration Date: 06/30/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 9739169871
- Enrollment ID: I20040721000321
Medical Identifiers
Medical identifiers for Rebecca J Hafner-fogarty such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497783963 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 25004 (Minnesota) | 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. Rebecca J Hafner-fogarty allows following entities to bill medicare on her behalf.
Entity Name | Centracare Health System - Long Prairie |
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Entity Type | Part A Provider - Critical Access Hospital |
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Entity Identifiers | NPI Number: 1164471678 PECOS PAC ID: 3870524598 Enrollment ID: O20061104000579 |
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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. Rebecca J Hafner-fogarty 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 |
Rebecca J Hafner-fogarty, MD 33491 135th Ave, Avon, MN 56310-9617 Ph: (320) 356-1019 | Rebecca J Hafner-fogarty, MD 33491 135th Ave, Avon, MN 56310-9617 Ph: (320) 356-1019 |
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