Ms Mitzie Ralph Fairfield, NP - Nurse Practitioner in Champaign, IL

Ms Mitzie Ralph Fairfield, NP is a Nurse Practitioner - Women's Health based in Champaign, Illinois. Ms Mitzie Ralph Fairfield is licensed to practice in Illinois (license number 209-000689) and her current practice location is 302 E. Stoughton, Champaign, Illinois. She can be reached at her office (for appointments etc.) via phone at (217) 359-8022.

NPI number for Ms Mitzie Ralph Fairfield is 1063580058 and her current mailing address is 615 County Rd 3400 North, Foosland, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063580058.

Contact Information

Ms Mitzie Ralph Fairfield, NP
302 E. Stoughton,
Champaign, IL 61820
(217) 359-8022
Not Available

Map and Direction




Provider's Profile

Full NameMs Mitzie Ralph Fairfield
GenderFemale
SpecialityNurse Practitioner - Women's Health
Location302 E. Stoughton, Champaign, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1063580058
  • Provider Enumeration Date: 11/30/2006
  • Last Update Date: 10/24/2008

Medical Identifiers

Medical identifiers for Ms Mitzie Ralph Fairfield such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063580058NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LW0102XNurse Practitioner - Women's Health 209-000689 (Illinois)Primary

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. Ms Mitzie Ralph Fairfield is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Mitzie Ralph Fairfield, NP
615 County Rd 3400 North,
Foosland, IL 61845

Ph: (217) 897-1096
Ms Mitzie Ralph Fairfield, NP
302 E. Stoughton,
Champaign, IL 61820

Ph: (217) 359-8022

Reviews and Comments


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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.

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