Alice J Fanning, FNP is a medicare enrolled "Nurse Practitioner - Family" in Haynesville, Louisiana. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Homer Memorial Hospital and her current practice location is
926 Frances Dr, Haynesville, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(318) 624-0554.
Alice J Fanning is licensed to practice in Louisiana (license number TAP002540) 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 1235423658.
Provider's Profile
Full Name | Alice J Fanning |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 13 Years |
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Location | 926 Frances Dr, Haynesville, Louisiana |
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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:
- Alice J Fanning graduated from nursing school in 2011
NPI Data:
- NPI Number: 1235423658
- Provider Enumeration Date: 06/02/2011
- Last Update Date: 06/02/2011
Medicare PECOS Information:
- PECOS PAC ID: 2062684350
- Enrollment ID: I20111010000499
Medical Identifiers
Medical identifiers for Alice J Fanning such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235423658 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | TAP002540 (Louisiana) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Homer Memorial Hospital | 1456322692 | 15 |
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. Alice J Fanning 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 |
Alice J Fanning, FNP 926 Frances Dr, Haynesville, LA 71038-6100 Ph: (318) 624-0554 | Alice J Fanning, FNP 926 Frances Dr, Haynesville, LA 71038-6100 Ph: (318) 624-0554 |
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