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

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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 9 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 NameMrs Raeanne Hunter Fondriest
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location3535 Pentagon Blvd, Beavercreek, Ohio
Accepts Medicare AssignmentsYes. 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.
IdentifierTypeStateIssuer
1194105692NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care COA.17372-NP (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Atrium Medical CenterFranklin, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Premier Health Specialists Inc5597708594394

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 NameAlliance Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437125572
PECOS PAC ID: 0840104360
Enrollment ID: O20031118000529
Entity NamePremier Health Specialists Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194958223
PECOS PAC ID: 5597708594
Enrollment ID: O20050610000010
Entity NameRajesh C Patel Md Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467446369
PECOS PAC ID: 2961538467
Enrollment ID: O20100408000316
Entity NameKettering Independent Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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
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Medicare: Accepting Medicare Assignments
Practice Location: 2605 Greenbrier Ct, Beavercreek, OH 45431
Phone: 937-782-8103    
Jessica Lynn Ullery, CNP
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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.
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Medicare: Not Enrolled in Medicare
Practice Location: 1331 N Fairfield Rd, Beavercreek, OH 45432
Phone: 937-426-4280    
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
Gregory David Bellanca, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 725 University Blvd, Beavercreek, OH 45324
Phone: 937-245-7200    Fax: 937-245-7999
Yolonda M Kelly, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2510 Commons Blvd. Suite 160, Beavercreek, OH 45431
Phone: 937-426-0049    Fax: 937-431-8140

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.