Sandra L Fooshee, PA is a medicare enrolled "Physician Assistant" physician in Owensboro, Kentucky. Her current practice location is
1201 Pleasant Valley Rd, Owensboro, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(270) 417-5911.
Sandra L Fooshee is licensed to practice in Kentucky (license number PA708) 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 1033183215.
Physician's Profile
| Full Name | Sandra L Fooshee |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 1201 Pleasant Valley Rd, Owensboro, Kentucky |
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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: 1033183215
- Provider Enumeration Date: 02/15/2006
- Last Update Date: 11/22/2021
Medicare PECOS Information:
- PECOS PAC ID: 3577519305
- Enrollment ID: I20070815000384
Medical Identifiers
Medical identifiers for Sandra L Fooshee such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033183215 | NPI | - | NPPES |
| 7100024630 | Medicaid | KY | |
| 0647603 | Other | KY | MEDICARE # WHILE WITH TEAM HEALTH |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | PA708 (Kentucky) | Secondary |
| 363AM0700X | Physician Assistant - Medical | KY PA # 708 (Kentucky) | Secondary |
| 363A00000X | Physician Assistant | PA708 (Kentucky) | 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. Sandra L Fooshee 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 |
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Sandra L Fooshee, PA
Po Box 23229,
Owensboro, KY 42304-3229
Ph: (270) 688-1330 | Sandra L Fooshee, PA
1201 Pleasant Valley Rd,
Owensboro, KY 42303-9811
Ph: (270) 417-5911 |
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