Asante Diane Fennell, PA-C in Poughkeepsie, NY - Medicare Physician Assistant

Asante Diane Fennell, PA-C is a medicare enrolled "Physician Assistant" in Poughkeepsie, New York. Her current practice location is 50 Eastdale Ave N, Poughkeepsie, New York. You can reach out to her office (for appointments etc.) via phone at (845) 437-5000.

Asante Diane Fennell is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1063196723.

Contact Information

	Asante Diane Fennell, PA-C
	50 Eastdale Ave N, Poughkeepsie, NY 12603-1694
	(845) 437-5000
	Not Available

Provider's Profile

Full Name	Asante Diane Fennell
Gender	Female
Speciality	Physician Assistant
Location	50 Eastdale Ave N, Poughkeepsie, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063196723
Provider Enumeration Date: 06/13/2023
Last Update Date: 06/13/2023

Medicare PECOS Information:

PECOS PAC ID: 4880057850
Enrollment ID: I20230824001797

Medical Identifiers

Medical identifiers for Asante Diane Fennell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063196723	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (Not Available))	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. Asante Diane 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
Asante Diane Fennell, PA-C 17223 Cerritos St, Fontana, CA 92336-1584 Ph: () -	Asante Diane Fennell, PA-C 50 Eastdale Ave N, Poughkeepsie, NY 12603-1694 Ph: (845) 437-5000

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Asante Diane Fennell, PA-C - Medicare Physician Assistant in Poughkeepsie, NY