Fabienne Fify, in La Porte, IN - Medicare Nurse Practitioner

Fabienne Fify, is a medicare enrolled "Nurse Practitioner - Gerontology" in La Porte, Indiana. Her current practice location is 1700 I St, La Porte, Indiana. You can reach out to her office (for appointments etc.) via phone at (708) 288-5036.

Fabienne Fify is licensed to practice in Indiana (license number MF9072769) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1063263572.

Contact Information

	Fabienne Fify,
	1700 I St, La Porte, IN 46350-5750
	(708) 288-5036
	Not Available

Map and Direction

Provider's Profile

Full Name	Fabienne Fify
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	1700 I St, La Porte, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063263572
Provider Enumeration Date: 04/01/2024
Last Update Date: 03/01/2025

Medicare PECOS Information:

PECOS PAC ID: 3072059500
Enrollment ID: I20240722000264

Medical Identifiers

Medical identifiers for Fabienne Fify such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063263572	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	71015257A (Indiana)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	MF9072769 (Indiana)	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. Fabienne Fify allows following entities to bill medicare on her behalf.

Entity Name	Theoria Medical
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20211209000803

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. Fabienne Fify 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
Fabienne Fify, 1118 W 112th Pl, Chicago, IL 60643-4518 Ph: () -	Fabienne Fify, 1700 I St, La Porte, IN 46350-5750 Ph: (708) 288-5036

Reviews and Comments

Nurse Practitioner Nurses in La Porte, IN

Miss Jessica Diehl, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 Legacy Plz W, La Porte, IN 46350 Phone: 219-575-7578 Fax: 219-575-7186
Mrs. Jennifer Campbell, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1509 State Street, La Porte, IN 46350 Phone: 219-324-3431 Fax: 219-362-3802
Tami Clinkenbeard, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 Newporte Blvd, La Porte, IN 46350 Phone: 219-326-1775 Fax: 219-326-1951
Kimberly Minich, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 602 F St, La Porte, IN 46350 Phone: 219-324-1377
April Donald, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 204 Legacy Plz W, La Porte, IN 46350 Phone: 219-476-7246
Mrs. Tina Marie Pierce, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 809 Jefferson Ave, La Porte, IN 46350 Phone: 219-878-5645

Fabienne Fify, - Medicare Nurse Practitioner in La Porte, IN