Dr Michael Fanning, is a medicare enrolled "Psychologist - Clinical" provider in Palestine, Texas. His current practice location is
210 W Oak St, Palestine, Texas. You can reach out to his office (for appointments etc.) via phone at
(404) 734-6757.
Dr Michael Fanning is licensed to practice in Texas (license number 38300) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1790184638.
Healthcare Provider's Profile
| Full Name | Dr Michael Fanning |
|---|
| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 210 W Oak St, Palestine, Texas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Michael Fanning attended and graduated from in
NPI Data:
- NPI Number: 1790184638
- Provider Enumeration Date: 08/15/2014
- Last Update Date: 03/27/2020
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Michael Fanning such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790184638 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 38300 (Texas) | Primary |
| 172A00000X | Driver | (* (Not Available)) | 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. Dr Michael Fanning 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 |
|---|
Dr Michael Fanning,
9725 Decatur Dr,
Indianapolis, IN 46256-9656
Ph: (312) 656-5489 | Dr Michael Fanning,
210 W Oak St,
Palestine, TX 75801-2710
Ph: (404) 734-6757 |
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