Dr Travis Edward Fairbanks, DNP in Escanaba, MI

Dr Travis Edward Fairbanks, DNP is a medicare enrolled "Nurse Practitioner - Family" in Escanaba, Michigan. His current practice location is 3401 Ludington St, Escanaba, Michigan. You can reach out to his office (for appointments etc.) via phone at (906) 786-5707.

Dr Travis Edward Fairbanks is licensed to practice in Michigan (license number F04230411) 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 1134901846.

Contact Information

	Dr Travis Edward Fairbanks, DNP
	3401 Ludington St, Escanaba, MI 49829-1300
	(906) 786-5707
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Travis Edward Fairbanks
Gender	Male
Speciality	Nurse Practitioner - Family
Location	3401 Ludington St, Escanaba, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134901846
Provider Enumeration Date: 10/17/2023
Last Update Date: 10/17/2023

Medicare PECOS Information:

PECOS PAC ID: 5395182406
Enrollment ID: I20240326000189

Medical Identifiers

Medical identifiers for Dr Travis Edward Fairbanks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134901846	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F04230411 (Michigan)	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 Travis Edward Fairbanks allows following entities to bill medicare on his behalf.

Entity Name	Schoolcraft Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700805157 PECOS PAC ID: 4082525118 Enrollment ID: O20040303000389

Entity Name	Dlp Marquette Physician Practices Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487902995 PECOS PAC ID: 9931359601 Enrollment ID: O20121016000312

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 Travis Edward Fairbanks 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 Travis Edward Fairbanks, DNP 321 W Magnetic St Apt 2, Marquette, MI 49855-2747 Ph: (906) 399-3077	Dr Travis Edward Fairbanks, DNP 3401 Ludington St, Escanaba, MI 49829-1300 Ph: (906) 786-5707

Reviews and Comments

Nurse Practitioner Nurses in Escanaba, MI

Ashlee Laplant, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 710 S Lincoln Rd Ste 100, Escanaba, MI 49829 Phone: 906-786-4862
Stacey Lynn Cole, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3409 Ludington St Ste 104, Escanaba, MI 49829 Phone: 906-786-8343
Rhian E Dalgord, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3409 Ludington St Ste 100, Escanaba, MI 49829 Phone: 906-789-4414 Fax: 906-789-4406
Clarice Jane Laporte, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 126 S 25th St, Escanaba, MI 49829 Phone: 906-789-3701 Fax: 906-233-1934
Tonja Oswald, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 901 S Lincoln Rd Ste 2, Escanaba, MI 49829 Phone: 906-212-4933
Leah Rachelle Hongisto, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3409 Ludington Street, Escanaba, MI 49829 Phone: 906-428-5403 Fax: 906-789-4503

Dr Travis Edward Fairbanks, DNP - Medicare Nurse Practitioner in Escanaba, MI