Mr Erich A Fogg, PA-C is a medicare enrolled "Physician Assistant" in Wells, Maine. He graduated from nursing school in 1996 and has 30 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice York Hospital and his current practice location is
112 Sanford Rd, Wells, Maine. You can reach out to his office (for appointments etc.) via phone at
(207) 641-8100.
Mr Erich A Fogg is licensed to practice in Maine (license number PA-763) 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 1811082316.
Provider's Profile
| Full Name | Mr Erich A Fogg |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 30 Years |
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| Location | 112 Sanford Rd, Wells, Maine |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Erich A Fogg graduated from nursing school in 1996
NPI Data:
- NPI Number: 1811082316
- Provider Enumeration Date: 10/03/2006
- Last Update Date: 12/02/2009
Medicare PECOS Information:
- PECOS PAC ID: 8022177286
- Enrollment ID: I20081104000188
Medical Identifiers
Medical identifiers for Mr Erich A Fogg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1811082316 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | PA-763 (Maine) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| York Hospital | 6406766781 | 202 |
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. Mr Erich A Fogg allows following entities to bill medicare on his behalf.
| Entity Name | York Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376528398
PECOS PAC ID: 6406766781
Enrollment ID: O20040812001065 |
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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. Mr Erich A 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 |
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Mr Erich A Fogg, PA-C
15 Hospital Drive, Medical Staff Office,
York, ME 03909-1011
Ph: (207) 351-2478 | Mr Erich A Fogg, PA-C
112 Sanford Rd,
Wells, ME 04090-5533
Ph: (207) 641-8100 |
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