Thomas R Fennell, MD in Charlottesville, VA - Medicare Student in an Organized Health Care Education/Training Program

Thomas R Fennell, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Charlottesville, Virginia. His current practice location is 1215 Lee St # 800904, Charlottesville, Virginia. You can reach out to his office (for appointments etc.) via phone at (434) 924-1946.

Thomas R Fennell is licensed to practice in Virginia (license number 0101274382) 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 1386844405.

Contact Information

	Thomas R Fennell, MD
	1215 Lee St # 800904, Charlottesville, VA 22908-0816
	(434) 924-1946
	(434) 982-1545

Physician's Profile

Full Name	Thomas R Fennell
Gender	Male
Speciality	Student In An Organized Health Care Education/training Program
Location	1215 Lee St # 800904, Charlottesville, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386844405
Provider Enumeration Date: 07/18/2007
Last Update Date: 06/22/2023

Medicare PECOS Information:

PECOS PAC ID: 4486810082
Enrollment ID: I20230706003884

Medical Identifiers

Medical identifiers for Thomas R Fennell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386844405	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0101X	Pathology - Anatomic Pathology	4301090586 (Michigan)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	0101274382 (Virginia)	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. Thomas R Fennell 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
Thomas R Fennell, MD 1215 Lee St # 800904, Charlottesville, VA 22908-0816 Ph: (434) 924-1946	Thomas R Fennell, MD 1215 Lee St # 800904, Charlottesville, VA 22908-0816 Ph: (434) 924-1946

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Thomas R Fennell, MD - Medicare Student in an Organized Health Care Education/Training Program in Charlottesville, VA