Eric Foze Anangfac, is a medicare enrolled "Nurse Practitioner - Family" provider in Beaverton, Michigan. His current practice location is
352 N Ross St, Beaverton, Michigan. You can reach out to his office (for appointments etc.) via phone at
(989) 435-7727.
Eric Foze Anangfac is licensed to practice in Michigan (license number 4704405947) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1770117301.
Healthcare Provider's Profile
Full Name | Eric Foze Anangfac |
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Gender | Male |
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Speciality | Nurse Practitioner - Family |
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Location | 352 N Ross St, Beaverton, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1770117301
- Provider Enumeration Date: 02/22/2020
- Last Update Date: 12/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 2466802756
- Enrollment ID: I20231228003168
Medical Identifiers
Medical identifiers for Eric Foze Anangfac such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770117301 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
183500000X | Pharmacist | 5302046609 (Michigan) | Secondary |
363LF0000X | Nurse Practitioner - Family | 4704405947 (Michigan) | 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. Eric Foze Anangfac allows following entities to bill medicare on his behalf.
Entity Name | Molina Care Connections Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1407243223 PECOS PAC ID: 5799062881 Enrollment ID: O20180320001095 |
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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. Eric Foze Anangfac 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 |
Eric Foze Anangfac, 352 N Ross St, Beaverton, MI 48612-8165 Ph: () - | Eric Foze Anangfac, 352 N Ross St, Beaverton, MI 48612-8165 Ph: (989) 435-7727 |
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