Fallon L Fabre, CRNP in Philadelphia, PA - Medicare Nurse Practitioner

Fallon L Fabre, CRNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Philadelphia, Pennsylvania. Her current practice location is 111 S 11th St, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (225) 776-7814.

Fallon L Fabre is licensed to practice in Pennsylvania (license number SP025654) 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 1386388247.

Contact Information

	Fallon L Fabre, CRNP
	111 S 11th St, Philadelphia, PA 19107-4824
	(225) 776-7814
	Not Available

Map and Direction

Provider's Profile

Full Name	Fallon L Fabre
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	111 S 11th St, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386388247
Provider Enumeration Date: 04/26/2022
Last Update Date: 04/26/2022

Medicare PECOS Information:

PECOS PAC ID: 2668840950
Enrollment ID: I20221117000710

Medical Identifiers

Medical identifiers for Fallon L Fabre such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386388247	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	SP025654 (Pennsylvania)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Fallon L Fabre allows following entities to bill medicare on her behalf.

Entity Name	Jefferson University Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326093675 PECOS PAC ID: 7911819180 Enrollment ID: O20040225000232

Entity Name	Methodist Associates In Healthcare, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053355131 PECOS PAC ID: 6406755651 Enrollment ID: O20040402000835

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. Fallon L Fabre 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
Fallon L Fabre, CRNP 1213 Walnut St Apt 310, Philadelphia, PA 19107-4912 Ph: (225) 776-7814	Fallon L Fabre, CRNP 111 S 11th St, Philadelphia, PA 19107-4824 Ph: (225) 776-7814

Reviews and Comments

Nurse Practitioner Nurses in Philadelphia, PA

Ms. Nicole Marie Koepke, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3401 Civic Center Blvd, Children's Hospital Of Philadelphia - Emergency Med, Philadelphia, PA 19104 Phone: 215-590-1944 Fax: 215-590-4454
Kathleen Ellen Kearney, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3535 Market St, Suite 100, Philadelphia, PA 19104 Phone: 215-746-3535 Fax: 215-746-1032
Liza Thomas, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3400 Civic Center Boulevard, West Pavilion 3rd Floor, Philadelphia, PA 19104 Phone: 215-662-2891
Mr. Charles E Warrington Jr., CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 Walnut St Fl 7, Medical Office Building, Philadelphia, PA 19107 Phone: 215-955-2165 Fax: 215-923-7957
Carley Bober, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 34th Street And Civic Center Blvd, Cardiac Center At Chop, Philadelphia, PA 19104 Phone: 215-590-6051 Fax: 215-590-1340
Ms. Candyce S Dorsey, CRNP, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1408 S Broad St, Philadelphia, PA 19146 Phone: 215-755-0700
Ling Fan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 111 S 11th St, Gibbon Bldg., Suite 6270, Philadelphia, PA 19107 Phone: 215-955-8304

Fallon L Fabre, CRNP - Medicare Nurse Practitioner in Philadelphia, PA