Whitney Blaire Fancher, MD - Medicare Dermatology in Longview, WA

Whitney Blaire Fancher, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Longview, Washington. She went to University Of Missouri, Columbia School Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Blue Valley Dermatology Llc and her current practice location is 1106 Douglas St Ste F, Longview, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 636-4500.

Whitney Blaire Fancher is licensed to practice in Oregon (license number MD177022) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1053699645.

Contact Information

Whitney Blaire Fancher, MD
1106 Douglas St Ste F,
Longview, WA 98632-2429
(360) 636-4500
Not Available



Physician's Profile

Full NameWhitney Blaire Fancher
GenderFemale
SpecialityDermatology
Experience13 Years
Location1106 Douglas St Ste F, Longview, Washington
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Whitney Blaire Fancher attended and graduated from University Of Missouri, Columbia School Of Medicine in 2011
  NPI Data:
  • NPI Number: 1053699645
  • Provider Enumeration Date: 07/30/2011
  • Last Update Date: 02/10/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0749595296
  • Enrollment ID: I20230607000566

Medical Identifiers

Medical identifiers for Whitney Blaire Fancher such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053699645NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 125059648 (Illinois)Secondary
207N00000XDermatology MD60644753 (Washington)Secondary
207N00000XDermatology MD177022 (Oregon)Secondary
207N00000XDermatology 63662 (Wisconsin)Secondary
207ND0101XDermatology - Mohs-micrographic Surgery MD60644753 (Washington)Secondary
207ND0101XDermatology - Mohs-micrographic Surgery 63662 (Wisconsin)Secondary
207ND0101XDermatology - Mohs-micrographic Surgery MD177022 (Oregon)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Blue Valley Dermatology Llc91334999738

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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. Whitney Blaire Fancher allows following entities to bill medicare on her behalf.
Entity NameBlue Valley Dermatology Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104354794
PECOS PAC ID: 9133499973
Enrollment ID: O20170726003732

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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. Whitney Blaire Fancher 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
Whitney Blaire Fancher, MD
1793 13th St Se,
Salem, OR 97302-2541

Ph: (503) 362-8385
Whitney Blaire Fancher, MD
1106 Douglas St Ste F,
Longview, WA 98632-2429

Ph: (360) 636-4500

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Dermatology Doctors in Longview, WA

Dr. Janet Marie Trowbridge, M.D., PH.D.
Dermatology
Medicare: Medicare Enrolled
Practice Location: 1615 Delaware St, Longview, WA 98632
Phone: 360-501-3547    Fax: 360-578-3355
Rebecca Suzanne Foreman, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 1615 Delaware St, Suite 200, Longview, WA 98632
Phone: 360-501-3547    

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