Roger S Van-fossen, PA is a medicare enrolled "Physician Assistant" physician in Parkersburg, West Virginia. His current practice location is
800 Garfield Ave, Parkersburg, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 424-2355.
Roger S Van-fossen is licensed to practice in West Virginia (license number 703) 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 1699714550.
Physician's Profile
Full Name | Roger S Van-fossen |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 800 Garfield Ave, Parkersburg, West Virginia |
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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: 1699714550
- Provider Enumeration Date: 06/06/2006
- Last Update Date: 06/19/2025
Medicare PECOS Information:
- PECOS PAC ID: 2668415324
- Enrollment ID: I20050603000959
Medical Identifiers
Medical identifiers for Roger S Van-fossen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699714550 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 703 (West Virginia) | Secondary |
363A00000X | Physician Assistant | 703 (West Virginia) | Primary |
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. Roger S 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 Address | Practice Location Address |
Roger S Van-fossen, PA Po Box 763, Morgantown, WV 26507-0763 Ph: () - | Roger S Van-fossen, PA 800 Garfield Ave, Parkersburg, WV 26101-5340 Ph: (304) 424-2355 |
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