Samuel John Fesenmeier, DO is a
Psychiatry & Neurology - Psychiatry physician based in Fort Irwin, California. Samuel John Fesenmeier is licensed to practice in Hawaii (license number DOS-2139) and his current practice location is 390 North Loop Rd, Fort Irwin, California. He can be reached at his office (for appointments etc.) via phone at
(760) 380-5289.
NPI number for Samuel John Fesenmeier is 1952860587 and his current mailing address is Bldg 390 N Loop Road, Fort Irwin, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1952860587.
Physician's Profile
| Full Name | Samuel John Fesenmeier |
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| Gender | Male |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 390 North Loop Rd, Fort Irwin, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1952860587
- Provider Enumeration Date: 03/13/2019
- Last Update Date: 11/15/2023
Medical Identifiers
Medical identifiers for Samuel John Fesenmeier such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1952860587 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | DOS-2139 (Hawaii) | 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. Samuel John Fesenmeier is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Samuel John Fesenmeier, DO Bldg 390 N Loop Road, Fort Irwin, CA 92310-0000 Ph: (760) 380-7171 | Samuel John Fesenmeier, DO 390 North Loop Rd, Fort Irwin, CA 92310 Ph: (760) 380-5289 |
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