Dr Elisabeth Fontaine, MD is a medicare enrolled "Obstetrics & Gynecology" physician in St Albans V, Vermont. Her current practice location is
12 Crest Rd, St Albans V, Vermont. You can reach out to her office (for appointments etc.) via phone at
(802) 524-5523.
Dr Elisabeth Fontaine is licensed to practice in Vermont (license number 0420008922) 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 1184644437.
Physician's Profile
| Full Name | Dr Elisabeth Fontaine |
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| Gender | Female |
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| Speciality | Obstetrics & Gynecology |
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| Location | 12 Crest Rd, St Albans V, Vermont |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1184644437
- Provider Enumeration Date: 07/20/2006
- Last Update Date: 10/25/2013
Medicare PECOS Information:
- PECOS PAC ID: 9335157395
- Enrollment ID: I20060403000177
Medical Identifiers
Medical identifiers for Dr Elisabeth Fontaine such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1184644437 | NPI | - | NPPES |
| 0VN0970 | Medicaid | VT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 0420008922 (Vermont) | 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. Dr Elisabeth Fontaine allows following entities to bill medicare on her behalf.
| Entity Name | Northwestern Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538293469
PECOS PAC ID: 5496714313
Enrollment ID: O20081114000535 |
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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. Dr Elisabeth Fontaine 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 |
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Dr Elisabeth Fontaine, MD
12 Crest Rd,
St Albans, VT 05478
Ph: (802) 524-5523 | Dr Elisabeth Fontaine, MD
12 Crest Rd,
St Albans V, VT 05478
Ph: (802) 524-5523 |
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