Dr David Randal Fohan, MD, DMD is a
Internal Medicine based in Ft Wainwright, Alaska. Dr David Randal Fohan is licensed to practice in Georgia (license number 034591) and his current practice location is
1060 Gaffney Rd #7440, Bassett Army Community Hospital, Ft Wainwright, Alaska. He can be reached at his office (for appointments etc.) via phone at
(907) 361-6028.
NPI number for Dr David Randal Fohan is 1710954854 and his current mailing address is 3010 Castlewoods Dr, Macon, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1710954854.
Healthcare Provider's Profile
| Full Name | Dr David Randal Fohan |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 1060 Gaffney Rd #7440, Ft Wainwright, Alaska |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1710954854
- Provider Enumeration Date: 03/08/2006
- Last Update Date: 07/31/2017
Medical Identifiers
Medical identifiers for Dr David Randal Fohan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1710954854 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1223G0001X | Dentist - General Practice | DN009804 (Florida) | Secondary |
| 207R00000X | Internal Medicine | 00015943 (Alabama) | Secondary |
| 207R00000X | Internal Medicine | 034591 (Georgia) | Primary |
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 David Randal Fohan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr David Randal Fohan, MD, DMD 3010 Castlewoods Dr, Macon, GA 31204-1474 Ph: Not Available | Dr David Randal Fohan, MD, DMD 1060 Gaffney Rd #7440, Bassett Army Community Hospital, Ft Wainwright, AK 99703-1474 Ph: (907) 361-6028 |
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