Anastassia Fennel, WHDNP is a medicare enrolled "Nurse Practitioner - Women's Health" in Wpafb, Ohio. Her current practice location is
4881 Sugar Maple Dr, Wpafb, Ohio. You can reach out to her office (for appointments etc.) via phone at
(937) 257-1160.
Anastassia Fennel is licensed to practice in Florida (license number APRN11017263) 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 1538642327.
Provider's Profile
Full Name | Anastassia Fennel |
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Gender | Female |
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Speciality | Nurse Practitioner - Women's Health |
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Location | 4881 Sugar Maple Dr, Wpafb, Ohio |
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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: 1538642327
- Provider Enumeration Date: 09/08/2018
- Last Update Date: 01/20/2022
Medicare PECOS Information:
- PECOS PAC ID: 1153799804
- Enrollment ID: I20221130001618
Medical Identifiers
Medical identifiers for Anastassia Fennel such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538642327 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 9438714 (Florida) | Secondary |
363LW0102X | Nurse Practitioner - Women's Health | APRN11017263 (Florida) | 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. Anastassia Fennel 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 |
Anastassia Fennel, WHDNP 4881 Sugar Maple Dr, Wpafb, OH 45433-5529 Ph: () - | Anastassia Fennel, WHDNP 4881 Sugar Maple Dr, Wpafb, OH 45433-5529 Ph: (937) 257-1160 |
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