Eveline M Fohtung, is a
Clinical Nurse Specialist - Psychiatric/mental Health based in Gainesville, Virginia. Eveline M Fohtung is licensed to practice in Virginia (license number 2024010898) and her current practice location is
7501 Heritage Village Plz, Gainesville, Virginia. She can be reached at her office (for appointments etc.) via phone at
(571) 762-9099.
NPI number for Eveline M Fohtung is 1649004979 and her current mailing address is 7501 Heritage Village Plz, Gainesville, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1649004979.
Provider's Profile
Full Name | Eveline M Fohtung |
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Gender | Female |
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Speciality | Clinical Nurse Specialist - Psychiatric/mental Health |
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Location | 7501 Heritage Village Plz, Gainesville, Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1649004979
- Provider Enumeration Date: 08/29/2024
- Last Update Date: 08/29/2024
Medical Identifiers
Medical identifiers for Eveline M Fohtung such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649004979 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
364SP0807X | Clinical Nurse Specialist - Psychiatric/mental Health, Child & Adolescent | 2024010898 (Virginia) | Secondary |
364SP0809X | Clinical Nurse Specialist - Psychiatric/mental Health, Adult | 2024010898 (Virginia) | Secondary |
364SP0810X | Clinical Nurse Specialist - Psychiatric/mental Health, Child & Family | 2024010898 (Virginia) | Secondary |
364SP0811X | Clinical Nurse Specialist - Psychiatric/mental Health, Chronically Ill | 2024010898 (Virginia) | Secondary |
364SP0812X | Clinical Nurse Specialist - Psychiatric/mental Health, Community | 2024010898 (Virginia) | Secondary |
364SP0813X | Clinical Nurse Specialist - Psychiatric/mental Health, Geropsychiatric | 2024010898 (Virginia) | Secondary |
364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | 2024010898 (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. Eveline M Fohtung is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Eveline M Fohtung, 7501 Heritage Village Plz, Gainesville, VA 20155-3078 Ph: (571) 762-9099 | Eveline M Fohtung, 7501 Heritage Village Plz, Gainesville, VA 20155-3078 Ph: (571) 762-9099 |
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