Dr Jerry Joseph Fasoldt, MD - Medicare Family Medicine in Fort Stewart, GA

Dr Jerry Joseph Fasoldt, MD is a medicare enrolled "Family Medicine" physician in Fort Stewart, Georgia. His current practice location is 1061 Harmon Ave, Fort Stewart, Georgia. You can reach out to his office (for appointments etc.) via phone at (912) 435-6965.

Dr Jerry Joseph Fasoldt is licensed to practice in Indiana (license number 01064093A) 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 1245394873.

Contact Information

Dr Jerry Joseph Fasoldt, MD
1061 Harmon Ave,
Fort Stewart, GA 31314-5641
(912) 435-6965
Not Available



Physician's Profile

Full NameDr Jerry Joseph Fasoldt
GenderMale
SpecialityFamily Medicine
Location1061 Harmon Ave, Fort Stewart, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245394873
  • Provider Enumeration Date: 12/20/2006
  • Last Update Date: 03/03/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 5698955920
  • Enrollment ID: I20240228004339

Medical Identifiers

Medical identifiers for Dr Jerry Joseph Fasoldt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245394873NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 01064093A (Indiana)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 Jerry Joseph Fasoldt 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
Dr Jerry Joseph Fasoldt, MD
1061 Harmon Ave,
Fort Stewart, GA 31314-5641

Ph: (912) 435-6965
Dr Jerry Joseph Fasoldt, MD
1061 Harmon Ave,
Fort Stewart, GA 31314-5641

Ph: (912) 435-6965

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Family Medicine Doctors in Fort Stewart, GA

Christopher Michael Krebs, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1061 Harmon Ave, Winn Army Community Hospital, Fort Stewart, GA 31314
Phone: 912-435-6820    Fax: 912-435-6706
Adam Walter Kowalski, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1061 Harmon Ave, Fort Stewart, GA 31314
Phone: 912-435-6965    
Dr. Brian F Malloy, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1061 Harmon Ave, Fort Stewart, GA 31314
Phone: 912-435-6965    
Dr. James A Mcquown Jr., MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1061 Harmon Ave, Fort Stewart, GA 31314
Phone: 912-435-6965    
Willis Andrew Mcvay, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1061 Harmon Ave, Fort Stewart, GA 31314
Phone: 912-435-6868    Fax: 912-435-6857
Dr. John Samuel Young, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1061 Harmon Ave, Suite 1d03, Winn Army Hospital, Fort Stewart, GA 31314
Phone: 912-435-6633    
Dr. James Albert Hula Jr., M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1061 Harmon Ave, Suite 1d03, Fort Stewart, GA 31314
Phone: 912-435-6633    

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