Mrs Raeanne Hunter Fondriest, AG-ACNP in Beavercreek, OH

Mrs Raeanne Hunter Fondriest, AG-ACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Beavercreek, Ohio. She went to Wright State University Boonshoft School Of Medicine and graduated in 2015 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Premier Health Specialists Inc and her current practice location is 3535 Pentagon Blvd, Beavercreek, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 702-4024.

Mrs Raeanne Hunter Fondriest is licensed to practice in Ohio (license number COA.17372-NP) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1194105692.

Contact Information

	Mrs Raeanne Hunter Fondriest, AG-ACNP
	3535 Pentagon Blvd, Beavercreek, OH 45431-1705
	(937) 702-4024
	(937) 702-4035

Map and Direction

Provider's Profile

Full Name	Mrs Raeanne Hunter Fondriest
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	3535 Pentagon Blvd, Beavercreek, Ohio
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Raeanne Hunter Fondriest attended and graduated from Wright State University Boonshoft School Of Medicine in 2015

NPI Data:

NPI Number: 1194105692
Provider Enumeration Date: 06/01/2015
Last Update Date: 01/14/2021

Medicare PECOS Information:

PECOS PAC ID: 6800167842
Enrollment ID: I20170809001192

Medical Identifiers

Medical identifiers for Mrs Raeanne Hunter Fondriest such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194105692	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	COA.17372-NP (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Atrium Medical Center	Franklin, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Premier Health Specialists Inc	5597708594	471

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. Mrs Raeanne Hunter Fondriest allows following entities to bill medicare on her behalf.

Entity Name	Premier Health Specialists Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194958223 PECOS PAC ID: 5597708594 Enrollment ID: O20050610000010

Entity Name	Rajesh C Patel Md Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467446369 PECOS PAC ID: 2961538467 Enrollment ID: O20100408000316

Entity Name	Kettering Independent Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629387865 PECOS PAC ID: 3173710936 Enrollment ID: O20101207000425

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. Mrs Raeanne Hunter Fondriest 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
Mrs Raeanne Hunter Fondriest, AG-ACNP 3535 Pentagon Blvd, Beavercreek, OH 45431-1705 Ph: (937) 702-4024	Mrs Raeanne Hunter Fondriest, AG-ACNP 3535 Pentagon Blvd, Beavercreek, OH 45431-1705 Ph: (937) 702-4024

Reviews and Comments

Nurse Practitioner Nurses in Beavercreek, OH

Carrie Steward, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2605 Greenbrier Ct, Beavercreek, OH 45431 Phone: 937-782-8103
Brandy L Mullett, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3535 Pentagon Blvd # 1157, Beavercreek, OH 45431 Phone: 937-702-4450 Fax: 937-702-4459
Jessica Lynn Ullery, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3535 Pentagon Blvd Ste 220, Beavercreek, OH 45431 Phone: 937-429-7350 Fax: 937-431-2623
Mrs. Theresa Marie Borchers, C.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1331 N Fairfield Rd, Beavercreek, OH 45432 Phone: 937-426-4280
Ellen K Ratay, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 75 Sylvania Dr, Beavercreek, OH 45440 Phone: 937-320-5050 Fax: 937-320-5060
Laura Busteed, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3535 Pentagon Blvd Ste 320, Beavercreek, OH 45431 Phone: 937-490-2270
Sheryl Spires, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2510 Commons Blvd, Suite 210, Beavercreek, OH 45431 Phone: 937-429-0607 Fax: 937-558-3067

Mrs Raeanne Hunter Fondriest, AG-ACNP - Medicare Nurse Practitioner in Beavercreek, OH