Dr Kelly Marie Van Fossen, DO - Medicare General Surgery in Fayetteville, NC

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Dr Kelly Marie Van Fossen, DO is a medicare enrolled "Surgery" physician in Fayetteville, North Carolina. She went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 2004 and has 20 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Cumberland County Hospital System Inc and her current practice location is 4140 Ferncreek Drive, Suite 601, Fayetteville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 485-3880.

Dr Kelly Marie Van Fossen is licensed to practice in North Carolina (license number 2009-00374) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1396957429.

Contact Information

Dr Kelly Marie Van Fossen, DO
4140 Ferncreek Drive, Suite 601,
Fayetteville, NC 28314-2569
(910) 485-3880
(910) 485-5341

Map and Direction




Physician's Profile

Full NameDr Kelly Marie Van Fossen
GenderFemale
SpecialityGeneral Surgery
Experience20 Years
Location4140 Ferncreek Drive, Fayetteville, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kelly Marie Van Fossen attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 2004
  NPI Data:
  • NPI Number: 1396957429
  • Provider Enumeration Date: 05/03/2007
  • Last Update Date: 06/03/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 2668525148
  • Enrollment ID: I20090730000565

Medical Identifiers

Medical identifiers for Dr Kelly Marie Van Fossen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396957429NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 2009-00374 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Cape Fear Valley Medical CenterFayetteville, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cumberland County Hospital System Inc1850204041455

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 Kelly Marie Van Fossen allows following entities to bill medicare on her behalf.
Entity NameCumberland County Hospital System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881946242
PECOS PAC ID: 1850204041
Enrollment ID: O20031112000693
Entity NameOwen Drive Surgical Clinic Of Fayetteville Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598841868
PECOS PAC ID: 5193778124
Enrollment ID: O20050301001001

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 Kelly Marie 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 AddressPractice Location Address
Dr Kelly Marie Van Fossen, DO
4140 Ferncreek Drive, Suite 601,
Fayetteville, NC 28314-2569

Ph: (910) 485-3880		Dr Kelly Marie Van Fossen, DO
4140 Ferncreek Drive, Suite 601,
Fayetteville, NC 28314-2569

Ph: (910) 485-3880

Reviews and Comments


Surgery Doctors in Fayetteville, NC

Dr. Marsha Criscio Nelson, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1841 Quiet Cv, Fayetteville, NC 28304
Phone: 910-829-6588    Fax: 910-829-6596
David A Goodman, M.D.
Surgery
Medicare: Medicare Enrolled
Practice Location: 4140 Ferncreek Dr, Suite 601, Fayetteville, NC 28314
Phone: 910-485-3880    Fax: 910-485-5341
Dr. Craig F. Copeland, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 3322 Starboard Way Apt 102, Fayetteville, NC 28314
Phone: 910-229-2402    
Michael Steven Bryant, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1841 Quiet Cv, Fayetteville, NC 28304
Phone: 910-323-2626    Fax: 910-323-3862
Xi Chen, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1726 Metromedical Dr, Fayetteville, NC 28304
Phone: 910-484-2284    Fax: 910-484-1673
Dr. Thomas James Beadle Jr., MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1251 Oliver St, Fayetteville, NC 28304
Phone: 910-822-6587    Fax: 910-426-6587
James Mcneil Thomas, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1841 Quiet Cv, Fayetteville, NC 28304
Phone: 910-323-2626    Fax: 910-483-6376

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.