Thomas R Fennell, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Charlottesville, Virginia. His current practice location is
1215 Lee St # 800904, Charlottesville, Virginia. You can reach out to his office (for appointments etc.) via phone at
(434) 924-1946.
Thomas R Fennell is licensed to practice in Virginia (license number 0101274382) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1386844405.
Physician's Profile
Full Name | Thomas R Fennell |
---|
Gender | Male |
---|
Speciality | Student In An Organized Health Care Education/training Program |
---|
Location | 1215 Lee St # 800904, Charlottesville, Virginia |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1386844405
- Provider Enumeration Date: 07/18/2007
- Last Update Date: 06/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 4486810082
- Enrollment ID: I20230706003884
Medical Identifiers
Medical identifiers for Thomas R Fennell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386844405 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ZP0101X | Pathology - Anatomic Pathology | 4301090586 (Michigan) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 0101274382 (Virginia) | 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. Thomas R Fennell 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 |
Thomas R Fennell, MD 1215 Lee St # 800904, Charlottesville, VA 22908-0816 Ph: (434) 924-1946 | Thomas R Fennell, MD 1215 Lee St # 800904, Charlottesville, VA 22908-0816 Ph: (434) 924-1946 |
Reviews and Comments