Dr David Randal Fohan, MD, DMD in Ft Wainwright, AK - Medicare Internal Medicine Provider

Dr David Randal Fohan, MD, DMD is a medicare enrolled "Internal Medicine" provider in Ft Wainwright, Alaska. His current practice location is 1060 Gaffney Rd #7440, Bassett Army Community Hospital, Ft Wainwright, Alaska. You can reach out to his office (for appointments etc.) via phone at (907) 361-6028.

Dr David Randal Fohan is licensed to practice in Georgia (license number 034591) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1710954854.

Contact Information

	Dr David Randal Fohan, MD, DMD
	1060 Gaffney Rd #7440, Bassett Army Community Hospital, Ft Wainwright, AK 99703-1474
	(907) 361-6028
	Not Available

Healthcare Provider's Profile

Full Name	Dr David Randal Fohan
Gender	Male
Speciality	Internal Medicine
Location	1060 Gaffney Rd #7440, Ft Wainwright, Alaska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710954854
Provider Enumeration Date: 03/08/2006
Last Update Date: 07/31/2017

Medicare PECOS Information:

PECOS PAC ID: 7315903846
Enrollment ID: I20141022001858

Medical Identifiers

Medical identifiers for Dr David Randal Fohan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710954854	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	DN009804 (Florida)	Secondary
207R00000X	Internal Medicine	00015943 (Alabama)	Secondary
207R00000X	Internal Medicine	034591 (Georgia)	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. Dr David Randal Fohan 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
Dr David Randal Fohan, MD, DMD 3010 Castlewoods Dr, Macon, GA 31204-1474 Ph: () -	Dr David Randal Fohan, MD, DMD 1060 Gaffney Rd #7440, Bassett Army Community Hospital, Ft Wainwright, AK 99703-1474 Ph: (907) 361-6028

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Dr David Randal Fohan, MD, DMD - Medicare in Ft Wainwright, AK