Dr Todd Capistrant, DO is a medicare enrolled "Neuromusculoskeletal Medicine & Omm" physician in Fairbanks, Alaska. His current practice location is
1001 Noble St, Fairbanks, Alaska. You can reach out to his office (for appointments etc.) via phone at
(907) 458-2682.
Dr Todd Capistrant is licensed to practice in Alaska (license number 5183) 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 1710931613.
Physician's Profile
| Full Name | Dr Todd Capistrant |
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| Gender | Male |
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| Speciality | Neuromusculoskeletal Medicine & Omm |
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| Location | 1001 Noble St, Fairbanks, Alaska |
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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: 1710931613
- Provider Enumeration Date: 05/22/2006
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 2961301635
- Enrollment ID: I20040102000245
Medical Identifiers
Medical identifiers for Dr Todd Capistrant such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1710931613 | NPI | - | NPPES |
| 1013836 | Medicaid | AK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 5183 (Alaska) | Secondary |
| 204D00000X | Neuromusculoskeletal Medicine & Omm | 5183 (Alaska) | 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 Todd Capistrant allows following entities to bill medicare on his behalf.
| Entity Name | Tanana Valley Clinic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922559558 PECOS PAC ID: 5698056901 Enrollment ID: O20161228001991 |
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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 Todd Capistrant 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 Todd Capistrant, DO 1001 Noble St, Fairbanks, AK 99701-4922 Ph: (907) 459-3500 | Dr Todd Capistrant, DO 1001 Noble St, Fairbanks, AK 99701-4922 Ph: (907) 458-2682 |
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