Penny Fossman, APRN, RN in Randolph, VT - Medicare Nurse Practitioner

Penny Fossman, APRN, RN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Randolph, Vermont. Her current practice location is 44 S Main St, Randolph, Vermont. You can reach out to her office (for appointments etc.) via phone at (802) 728-7000.

Penny Fossman is licensed to practice in Vermont (license number 101.0134278) 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 1891117545.

Contact Information

	Penny Fossman, APRN, RN
	44 S Main St, Randolph, VT 05060
	(802) 728-7000
	Not Available

Map and Direction

Provider's Profile

Full Name	Penny Fossman
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	44 S Main St, Randolph, Vermont
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891117545
Provider Enumeration Date: 01/15/2014
Last Update Date: 04/05/2019

Medicare PECOS Information:

PECOS PAC ID: 0547593899
Enrollment ID: I20190531001594

Medical Identifiers

Medical identifiers for Penny Fossman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891117545	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	NUR R 33273 (Alaska)	Secondary
163W00000X	Registered Nurse	026.0137896 (Vermont)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	101.0134278 (Vermont)	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. Penny Fossman allows following entities to bill medicare on her behalf.

Entity Name	Gifford Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942329446 PECOS PAC ID: 4880683663 Enrollment ID: O20040507000460

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. Penny Fossman 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
Penny Fossman, APRN, RN Po Box 1716, Haines, AK 99827-1716 Ph: (907) 314-0525	Penny Fossman, APRN, RN 44 S Main St, Randolph, VT 05060 Ph: (802) 728-7000

Reviews and Comments

Nurse Practitioner Nurses in Randolph, VT

Ms. Sherry L Barnard, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17 Central St Unit 1, Randolph, VT 05060 Phone: 802-413-6030 Fax: 802-735-1664
Meredith Welsh, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 44 S Main St, Randolph, VT 05060 Phone: 802-728-2445
Rachel Salloway, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 44 S Main St, Randolph, VT 05060 Phone: 802-728-2445
Kathleen Elizabeth Robbins, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11 N Main St, Randolph, VT 05060 Phone: 802-728-4466
Mr. David Mathies, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 44 S Main St, Randolph, VT 05060 Phone: 802-728-7000
Meghan Ketcham, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 44 S Main St, Randolph, VT 05060 Phone: 000-000-0000
Meghan Davis Foster, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 44 S Main St, Randolph, VT 05060 Phone: 802-728-7940 Fax: 802-728-2795

Penny Fossman, APRN, RN - Medicare Nurse Practitioner in Randolph, VT