David W Fairbanks, MD is a medicare enrolled "Family Medicine" physician in Raton, New Mexico. He went to University Of Virginia School Of Medicine and graduated in 1989 and has 37 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Fep Of Kentucky Llc, Miners' Colfax Medical Center and his current practice location is
203 Hospital Dr, Raton, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(575) 445-7720.
David W Fairbanks is licensed to practice in Utah (license number 6372524-1205) 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 1700989969.
Physician's Profile
| Full Name | David W Fairbanks |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 37 Years |
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| Location | 203 Hospital Dr, Raton, New Mexico |
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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. |
Medical Education and Training:
- David W Fairbanks attended and graduated from University Of Virginia School Of Medicine in 1989
NPI Data:
- NPI Number: 1700989969
- Provider Enumeration Date: 09/06/2006
- Last Update Date: 04/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 8325028830
- Enrollment ID: I20210614002205
Medical Identifiers
Medical identifiers for David W Fairbanks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1700989969 | NPI | - | NPPES |
| 87155028 | Medicaid | NM | |
| 3810005265 | Medicaid | WV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | 16369 (West Virginia) | Secondary |
| 207P00000X | Emergency Medicine | 6372524-1205 (Utah) | Secondary |
| 207P00000X | Emergency Medicine | MD2022-0625 (New Mexico) | Secondary |
| 207Q00000X | Family Medicine | MD2022-0625 (New Mexico) | Secondary |
| 207Q00000X | Family Medicine | 6372524-1205 (Utah) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Fep Of Kentucky Llc | 8123473626 | 21 |
| Miners' Colfax Medical Center | 5294647400 | 16 |
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. David W Fairbanks allows following entities to bill medicare on his behalf.
| Entity Name | Fep Of Kentucky Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770266553 PECOS PAC ID: 8123473626 Enrollment ID: O20231018000380 |
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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. David W Fairbanks 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 |
David W Fairbanks, MD 203 Hospital Dr, Raton, NM 87740-2012 Ph: (575) 445-7720 | David W Fairbanks, MD 203 Hospital Dr, Raton, NM 87740-2012 Ph: (575) 445-7720 |
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