Dr John M Fanning, DO is a medicare enrolled "Family Medicine" physician in Ridley Park, Pennsylvania. His current practice location is
8 Morton Ave, Suite 303, Ridley Park, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(610) 595-6850.
Dr John M Fanning is licensed to practice in Pennsylvania (license number OS003967L) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1053494435.
Physician's Profile
Full Name | Dr John M Fanning |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 8 Morton Ave, Ridley Park, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1053494435
- Provider Enumeration Date: 10/23/2006
- Last Update Date: 09/21/2012
Medicare PECOS Information:
- PECOS PAC ID: 0941230155
- Enrollment ID: I20050817000742
Medical Identifiers
Medical identifiers for Dr John M Fanning such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053494435 | NPI | - | NPPES |
001454661 | Medicaid | PA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | OS003967L (Pennsylvania) | 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 John M Fanning allows following entities to bill medicare on his behalf.
Entity Name | Prospect Health Access Network Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1568819084 PECOS PAC ID: 5698065142 Enrollment ID: O20160613000737 |
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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 John M 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 John M Fanning, DO 8 Morton Ave, Suite 303, Ridley Park, PA 19078-2210 Ph: (610) 595-6850 | Dr John M Fanning, DO 8 Morton Ave, Suite 303, Ridley Park, PA 19078-2210 Ph: (610) 595-6850 |
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