Eric David Vanfossen, PA-C is a medicare enrolled "Physician Assistant - Medical" in Sidney, Ohio. He graduated from nursing school in 1992 and has 32 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Pure Healthcare Llc and his current practice location is
1205 Fairington Dr, Sidney, Ohio. You can reach out to his office (for appointments etc.) via phone at
(937) 492-8431.
Eric David Vanfossen is licensed to practice in Ohio (license number 0805) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1083754287.
Provider's Profile
| Full Name | Eric David Vanfossen |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 32 Years |
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| Location | 1205 Fairington Dr, Sidney, Ohio |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Eric David Vanfossen graduated from nursing school in 1992
NPI Data:
- NPI Number: 1083754287
- Provider Enumeration Date: 02/07/2007
- Last Update Date: 12/02/2020
Medicare PECOS Information:
- PECOS PAC ID: 3375670540
- Enrollment ID: I20100420000345
Medical Identifiers
Medical identifiers for Eric David Vanfossen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083754287 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | 0805 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Pure Healthcare Llc | 1456648989 | 17 |
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. Eric David Vanfossen 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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Eric David Vanfossen, PA-C
21039 Geyer Dr,
Wapakoneta, OH 45895-8815
Ph: (937) 596-5386 | Eric David Vanfossen, PA-C
1205 Fairington Dr,
Sidney, OH 45365-8144
Ph: (937) 492-8431 |
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