Dr Levin Dirk Fairchild, MD - Medicare Student in an Organized Health Care Education/Training Program in Chattanooga, TN

Dr Levin Dirk Fairchild, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Chattanooga, Tennessee. His current practice location is 979 E 3rd St Ste B-401, Chattanooga, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 778-7695.

Dr Levin Dirk Fairchild is licensed to practice in * (Not Available) (license number ) 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 1306423322.

Contact Information

Dr Levin Dirk Fairchild, MD
979 E 3rd St Ste B-401,
Chattanooga, TN 37403-2136
(423) 778-7695
Not Available



Physician's Profile

Full NameDr Levin Dirk Fairchild
GenderMale
SpecialityStudent In An Organized Health Care Education/training Program
Location979 E 3rd St Ste B-401, Chattanooga, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1306423322
  • Provider Enumeration Date: 03/25/2021
  • Last Update Date: 12/28/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5193127199
  • Enrollment ID: I20240117004593

Medical Identifiers

Medical identifiers for Dr Levin Dirk Fairchild such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306423322NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 69458 (Tennessee)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Primary

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. Dr Levin Dirk Fairchild allows following entities to bill medicare on his behalf.
Entity NameSignify Health Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20191218003345

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Medicare Part D Prescriber Enrollment

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Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Levin Dirk Fairchild, MD
979 E 3rd St Ste B-401,
Chattanooga, TN 37403-2136

Ph: (423) 778-7695
Dr Levin Dirk Fairchild, MD
979 E 3rd St Ste B-401,
Chattanooga, TN 37403-2136

Ph: (423) 778-7695

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