Meredith Leigh Fogg, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Orford, New Hampshire. Her current practice location is
633 Nh-10, Orford, New Hampshire. You can reach out to her office (for appointments etc.) via phone at
(603) 353-9102.
Meredith Leigh Fogg is licensed to practice in New Hampshire (license number 071712-23) 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 1265124564.
Provider's Profile
| Full Name | Meredith Leigh Fogg |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 633 Nh-10, Orford, New Hampshire |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1265124564
- Provider Enumeration Date: 05/24/2023
- Last Update Date: 05/24/2023
Medicare PECOS Information:
- PECOS PAC ID: 0547629578
- Enrollment ID: I20230707003131
Medical Identifiers
Medical identifiers for Meredith Leigh Fogg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1265124564 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 071712-23 (New Hampshire) | 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. Meredith Leigh Fogg allows following entities to bill medicare on her behalf.
| Entity Name | Becket Academy Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336614478 PECOS PAC ID: 2264765478 Enrollment ID: O20190624000462 |
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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. Meredith Leigh 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 |
Meredith Leigh Fogg, PMHNP Po Box 325, Orford, NH 03777-0325 Ph: (603) 353-9102 | Meredith Leigh Fogg, PMHNP 633 Nh-10, Orford, NH 03777 Ph: (603) 353-9102 |
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