Mark Fogg, DCNP, FNP, APRN in Trinity, FL - Medicare Nurse Practitioner

Mark Fogg, DCNP, FNP, APRN is a medicare enrolled "Nurse Practitioner - Primary Care" in Trinity, Florida. He graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Robert A. Norman Do Pa and his current practice location is 1019 Flora Vista St, Trinity, Florida. You can reach out to his office (for appointments etc.) via phone at (727) 698-3963.

Mark Fogg is licensed to practice in Florida (license number APRN2794242) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1194123729.

Contact Information

	Mark Fogg, DCNP, FNP, APRN
	1019 Flora Vista St, Trinity, FL 34655-7025
	(727) 698-3963
	Not Available

Map and Direction

Provider's Profile

Full Name	Mark Fogg
Gender	Male
Speciality	Nurse Practitioner
Experience	12 Years
Location	1019 Flora Vista St, Trinity, Florida
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mark Fogg graduated from nursing school in 2014

NPI Data:

NPI Number: 1194123729
Provider Enumeration Date: 12/14/2014
Last Update Date: 12/05/2025

Medicare PECOS Information:

PECOS PAC ID: 9234410523
Enrollment ID: I20161228001102

Medical Identifiers

Medical identifiers for Mark Fogg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194123729	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	APRN2794242 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Robert A. Norman Do Pa	7719971597	3

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. Mark Fogg allows following entities to bill medicare on his behalf.

Entity Name	Robert A. Norman Do Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558391219 PECOS PAC ID: 7719971597 Enrollment ID: O20040413001876

Entity Name	Dermatology Healthcare Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124463104 PECOS PAC ID: 3072752351 Enrollment ID: O20130618000025

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. Mark Fogg 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
Mark Fogg, DCNP, FNP, APRN 1019 Flora Vista St, Trinity, FL 34655-7025 Ph: (727) 698-3963	Mark Fogg, DCNP, FNP, APRN 1019 Flora Vista St, Trinity, FL 34655-7025 Ph: (727) 698-3963

Reviews and Comments

Nurse Practitioner Nurses in Trinity, FL

Natalie Eudora Bastien, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2044 Trinity Oaks Blvd Ste 220, Trinity, FL 34655 Phone: 727-645-6900 Fax: 727-372-8989
Jerrica Sawyer, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3539 Little Rd, Trinity, FL 34655 Phone: 727-846-9419 Fax: 727-816-8707
Rachel Kristen Morin, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10710 State Road 54 Ste 108, Trinity, FL 34655 Phone: 727-376-4040
Phuong Quyen Thi Dinh-bailey, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1818 Short Branch Dr Ste 102, Trinity, FL 34655 Phone: 727-332-0028
Kimberley Kay Drury, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3543 Little Rd, Trinity, FL 34655 Phone: 727-848-6400
Corie L Bailey, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1815 Health Care Dr Ste B, Trinity, FL 34655 Phone: 727-312-4445 Fax: 727-312-4643
Ebony Patrice Austin, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3543 Little Rd, Trinity, FL 34655 Phone: 727-848-6400

Mark Fogg, DCNP, FNP, APRN - Medicare Nurse Practitioner in Trinity, FL