Whitney Blaire Fancher, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Longview, Washington. Her current practice location is
1106 Douglas St Ste F, Longview, Washington. You can reach out to her office (for appointments etc.) via phone at
(360) 636-4500.
Whitney Blaire Fancher is licensed to practice in Oregon (license number MD177022) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1053699645.
Physician's Profile
Full Name | Whitney Blaire Fancher |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 1106 Douglas St Ste F, Longview, Washington |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Whitney Blaire Fancher attended and graduated from in
NPI Data:
- NPI Number: 1053699645
- Provider Enumeration Date: 07/30/2011
- Last Update Date: 02/10/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Whitney Blaire Fancher such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053699645 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 125059648 (Illinois) | Secondary |
207N00000X | Dermatology | MD60644753 (Washington) | Secondary |
207N00000X | Dermatology | MD177022 (Oregon) | Secondary |
207N00000X | Dermatology | 63662 (Wisconsin) | Secondary |
207ND0101X | Dermatology - Mohs-micrographic Surgery | MD60644753 (Washington) | Secondary |
207ND0101X | Dermatology - Mohs-micrographic Surgery | 63662 (Wisconsin) | Secondary |
207ND0101X | Dermatology - Mohs-micrographic Surgery | MD177022 (Oregon) | 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. Whitney Blaire Fancher 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 |
Whitney Blaire Fancher, MD 1793 13th St Se, Salem, OR 97302-2541 Ph: (503) 362-8385 | Whitney Blaire Fancher, MD 1106 Douglas St Ste F, Longview, WA 98632-2429 Ph: (360) 636-4500 |
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