Robyn Michelle Fanderclai, MD is a medicare enrolled "Dermatology" physician in O Fallon, Missouri. She went to University Of Missouri, Columbia School Of Medicine and graduated in 1999 and has 26 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Forefront Dermatology Sc and her current practice location is
9209 Phoenix Village Pkwy, O Fallon, Missouri. You can reach out to her office (for appointments etc.) via phone at
(636) 561-4613.
Robyn Michelle Fanderclai is licensed to practice in Missouri (license number 2003005421) 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 1457462418.
Physician's Profile
| Full Name | Robyn Michelle Fanderclai |
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| Gender | Female |
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| Speciality | Dermatology |
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| Experience | 26 Years |
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| Location | 9209 Phoenix Village Pkwy, O Fallon, Missouri |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Robyn Michelle Fanderclai attended and graduated from University Of Missouri, Columbia School Of Medicine in 1999
NPI Data:
- NPI Number: 1457462418
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 02/05/2025
Medicare PECOS Information:
- PECOS PAC ID: 3971592999
- Enrollment ID: I20040506000929
Medical Identifiers
Medical identifiers for Robyn Michelle Fanderclai such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1457462418 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207N00000X | Dermatology | 2003005421 (Missouri) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Forefront Dermatology Sc | 3779471701 | 568 |
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. Robyn Michelle Fanderclai allows following entities to bill medicare on her behalf.
| Entity Name | Forefront Dermatology Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1891179040 PECOS PAC ID: 3779471701 Enrollment ID: O20150922001275 |
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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. Robyn Michelle Fanderclai 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 |
Robyn Michelle Fanderclai, MD 801 York St, Manitowoc, WI 54220-4630 Ph: (920) 663-9008 | Robyn Michelle Fanderclai, MD 9209 Phoenix Village Pkwy, O Fallon, MO 63368-4280 Ph: (636) 561-4613 |
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