Mrs Peggy Fogg, CRNP in Birmingham, AL - Medicare Nurse Practitioner

Mrs Peggy Fogg, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Birmingham, Alabama. Her current practice location is 48 Medical Park Dr E Ste 355, Birmingham, Alabama. You can reach out to her office (for appointments etc.) via phone at (205) 838-3036.

Mrs Peggy Fogg is licensed to practice in Alabama (license number 0371998) 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 1255428793.

Contact Information

	Mrs Peggy Fogg, CRNP
	48 Medical Park Dr E Ste 355, Birmingham, AL 35235-3470
	(205) 838-3036
	(205) 838-5832

Map and Direction

Provider's Profile

Full Name	Mrs Peggy Fogg
Gender	Female
Speciality	Nurse Practitioner - Family
Location	48 Medical Park Dr E Ste 355, Birmingham, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255428793
Provider Enumeration Date: 10/06/2006
Last Update Date: 02/04/2022

Medicare PECOS Information:

PECOS PAC ID: 5496804999
Enrollment ID: I20181110000421

Medical Identifiers

Medical identifiers for Mrs Peggy Fogg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255428793	NPI	-	NPPES
1-166208	Other	AL	BLUE CROSS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	041333443 (Illinois)	Secondary
363L00000X	Nurse Practitioner	209004753 (Illinois)	Secondary
363LF0000X	Nurse Practitioner - Family	0371998 (Alabama)	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. Mrs Peggy Fogg allows following entities to bill medicare on her behalf.

Entity Name	Eastern Obstetrics And Gynecology, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154435584 PECOS PAC ID: 3971526286 Enrollment ID: O20060112000120

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. Mrs Peggy Fogg 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
Mrs Peggy Fogg, CRNP 750 Peter Bryce Blvd, Tuscaloosa, AL 35401-7456 Ph: (205) 348-6262	Mrs Peggy Fogg, CRNP 48 Medical Park Dr E Ste 355, Birmingham, AL 35235-3470 Ph: (205) 838-3036

Reviews and Comments

Nurse Practitioner Nurses in Birmingham, AL

Mrs. April Hooper Weatherly, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 7th Ave S, Birmingham, AL 35233 Phone: 205-939-9175
Miss Leigh Anne Wenzel, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 Saint Vincents Dr, Suite500, Birmingham, AL 35205 Phone: 205-933-8334 Fax: 205-271-5681
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Ashlee Brooke Quick, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3729 Mary Taylor Rd, Birmingham, AL 35235 Phone: 205-856-4440 Fax: 205-856-4445
Anyet Belyeu, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1201 11th Ave S, Birmingham, AL 35205 Phone: 205-930-7155 Fax: 205-930-7061
Amy Urban, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 7th Ave S, Lowder Bldg., Suite 618, Birmingham, AL 35233 Phone: 205-638-9918
Jessica Cha, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1717 6th Ave S, Birmingham, AL 35233 Phone: 800-822-8816

Mrs Peggy Fogg, CRNP - Medicare Nurse Practitioner in Birmingham, AL