Ms Kristy Michelle Fogle, PA-C in Randallstown, MD

Ms Kristy Michelle Fogle, PA-C is a medicare enrolled "Physician Assistant" in Randallstown, Maryland. Her current practice location is 5401 Old Court Road, Northwest Hospital-emergency Department, Randallstown, Maryland. You can reach out to her office (for appointments etc.) via phone at (443) 848-8705.

Ms Kristy Michelle Fogle is licensed to practice in Maryland (license number C0005156) 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 1508291410.

Contact Information

	Ms Kristy Michelle Fogle, PA-C
	5401 Old Court Road, Northwest Hospital-emergency Department, Randallstown, MD 21133
	(443) 848-8705
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Kristy Michelle Fogle
Gender	Female
Speciality	Physician Assistant
Location	5401 Old Court Road, Randallstown, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508291410
Provider Enumeration Date: 09/10/2013
Last Update Date: 09/10/2013

Medicare PECOS Information:

PECOS PAC ID: 2466680012
Enrollment ID: I20140106001326

Medical Identifiers

Medical identifiers for Ms Kristy Michelle Fogle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508291410	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	C0005156 (Maryland)	Primary
363AM0700X	Physician Assistant - Medical	C0005156 (Maryland)	Secondary

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. Ms Kristy Michelle Fogle 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
Ms Kristy Michelle Fogle, PA-C 31 Coolpond Ct, Baltimore, MD 21227-3839 Ph: (443) 848-8705	Ms Kristy Michelle Fogle, PA-C 5401 Old Court Road, Northwest Hospital-emergency Department, Randallstown, MD 21133 Ph: (443) 848-8705

Reviews and Comments

Physician Assistant Nurses in Randallstown, MD

Mr. Mario Klimentov Dimitrov, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5401 Old Court Road, Northwest Hospital Center, Randallstown, MD 21133 Phone: 410-521-2200
Ms. Shannon Lynn Watts, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5401 Old Court Rd, Randallstown, MD 21133 Phone: 410-521-2200
Scott W Stromberg, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5401 Old Court Rd, Randallstown, MD 21133 Phone: 410-521-2200
Haramrit Rajan, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5401 Old Court Rd, Randallstown, MD 21133 Phone: 410-521-2200
Ms. Mindi N Valuckas, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5401 Old Court Rd, Randallstown, MD 21133 Phone: 410-521-2200
Ms. Jessica L. Ridgely, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5401 Old Court Rd, Randallstown, MD 21133 Phone: 410-521-2200
Bethany Kate Heaton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5401 Old Court Rd, Randallstown, MD 21133 Phone: 410-521-2200

Ms Kristy Michelle Fogle, PA-C - Medicare Physician Assistant in Randallstown, MD