Brenda R Van Fossen, MD in Liverpool, NY

Brenda R Van Fossen, MD is a medicare enrolled "Pediatrics" physician in Liverpool, New York. Her current practice location is 7375 Oswego Rd, Liverpool, New York. You can reach out to her office (for appointments etc.) via phone at (315) 291-0064.

Brenda R Van Fossen is licensed to practice in New York (license number 291334) 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 1073522587.

Contact Information

	Brenda R Van Fossen, MD
	7375 Oswego Rd, Liverpool, NY 13090-3717
	(315) 291-0064
	(315) 291-0065

Map and Direction

Physician's Profile

Full Name	Brenda R Van Fossen
Gender	Female
Speciality	Pediatrics
Location	7375 Oswego Rd, Liverpool, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073522587
Provider Enumeration Date: 08/05/2006
Last Update Date: 03/22/2018

Medicare PECOS Information:

PECOS PAC ID: 8729036496
Enrollment ID: I20050110000426

Medical Identifiers

Medical identifiers for Brenda R Van Fossen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073522587	NPI	-	NPPES
0191866	Other	WA	STATE L&I
8409245	Medicaid	WA
8939525	Other	WA	STATE CRIME VICTIMS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	MD00043720 (Washington)	Secondary
208000000X	Pediatrics	291334 (New York)	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. Brenda R Van Fossen allows following entities to bill medicare on her behalf.

Entity Name	Multicare Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760

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. Brenda R Van Fossen 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
Brenda R Van Fossen, MD Po Box 500, Ellicottville, NY 14731-0500 Ph: (716) 699-9032	Brenda R Van Fossen, MD 7375 Oswego Rd, Liverpool, NY 13090-3717 Ph: (315) 291-0064

Reviews and Comments

Pediatrics Doctors in Liverpool, NY

Meghan Dambach, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4811 Buckley Rd, Liverpool, NY 13088 Phone: 315-457-9966
Nicole Autumn Mirjafari, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5100 W Taft Rd Ste 1b, Liverpool, NY 13088 Phone: 239-343-9888 Fax: 239-303-0714
Mrs. Maritza Alvarado, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4811 Buckley Rd, Liverpool, NY 13088 Phone: 315-457-9966 Fax: 315-457-9854
Mrs. Angelle M Cresswell, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Garnoch Ct, Liverpool, NY 13090 Phone: 315-457-0872
Dr. Mary V Green, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4811 Buckley Rd, Liverpool, NY 13088 Phone: 315-457-9966 Fax: 315-457-9854
Fozia Bakshi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4811 Buckley Rd, Liverpool, NY 13088 Phone: 315-457-9966 Fax: 315-379-4900

Brenda R Van Fossen, MD - Medicare Pediatrics in Liverpool, NY