Theresa Marie Fogarty, CRNP is a medicare enrolled "Nurse Practitioner" physician in Hershey, Pennsylvania. Her current practice location is
500 University Dr, Hershey, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(717) 531-6597.
Theresa Marie Fogarty is licensed to practice in Pennsylvania (license number SP027865) 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 1730862038.
Physician's Profile
Full Name | Theresa Marie Fogarty |
---|
Gender | Female |
---|
Speciality | Nurse Practitioner |
---|
Location | 500 University Dr, Hershey, Pennsylvania |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1730862038
- Provider Enumeration Date: 08/11/2023
- Last Update Date: 10/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 4183087802
- Enrollment ID: I20230829002170
Medical Identifiers
Medical identifiers for Theresa Marie Fogarty such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730862038 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RI0200X | Internal Medicine - Infectious Disease | SP027865 (Pennsylvania) | Secondary |
363L00000X | Nurse Practitioner | SP027865 (Pennsylvania) | 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. Theresa Marie Fogarty allows following entities to bill medicare on her behalf.
Entity Name | The Milton S Hershey Medical Center Physicians Group |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1710951744 PECOS PAC ID: 3870405483 Enrollment ID: O20040225000741 |
---|
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. Theresa Marie 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 |
Theresa Marie Fogarty, CRNP 500 University Dr, Mc Ca410, Hershey, PA 17033-2360 Ph: (717) 531-5208 | Theresa Marie Fogarty, CRNP 500 University Dr, Hershey, PA 17033-2360 Ph: (717) 531-6597 |
Reviews and Comments