Bresney Alyssa-dawn Fanning, NNP - Medicare Nurse Practitioner in Charleston, SC

Bresney Alyssa-dawn Fanning, NNP is a medicare enrolled "Nurse Practitioner - Neonatal" in Charleston, South Carolina. Her current practice location is 171 Ashley Ave, Charleston, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 792-1414.

Bresney Alyssa-dawn Fanning is licensed to practice in South Carolina (license number 17891) 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 1144564055.

Contact Information

Bresney Alyssa-dawn Fanning, NNP
171 Ashley Ave,
Charleston, SC 29425-8908
(843) 792-1414
Not Available



Provider's Profile

Full NameBresney Alyssa-dawn Fanning
GenderFemale
SpecialityNurse Practitioner - Neonatal
Location171 Ashley Ave, Charleston, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1144564055
  • Provider Enumeration Date: 11/15/2012
  • Last Update Date: 08/01/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0345493987
  • Enrollment ID: I20130110000470

Medical Identifiers

Medical identifiers for Bresney Alyssa-dawn Fanning such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144564055NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LN0000XNurse Practitioner - Neonatal 17891 (South Carolina)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. Bresney Alyssa-dawn Fanning allows following entities to bill medicare on her behalf.
Entity NameUniversity Medical Associates Of The Medical University Of South Carol
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043241110
PECOS PAC ID: 6305758574
Enrollment ID: O20031105000291

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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. Bresney Alyssa-dawn Fanning 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
Bresney Alyssa-dawn Fanning, NNP
Po Box 751461,
Charlotte, NC 28275-1461

Ph: (843) 792-6200
Bresney Alyssa-dawn Fanning, NNP
171 Ashley Ave,
Charleston, SC 29425-8908

Ph: (843) 792-1414

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Nurse Practitioner Nurses in Charleston, SC

Marsha Susan Voges, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4115 Dorchester Road, Concentra Medical Center, Charleston, SC 29405
Phone: 843-554-6737    Fax: 843-554-3356
Mrs. Pamela Staker, MSN, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 109 Bee St, Charleston, SC 29401
Phone: 843-577-5011    
Karen D Doll, ANP, CVNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: Medical University Of South Carolina, 114 Doughty Street Suite 654, Charleston, SC 29424
Phone: 843-876-4854    Fax: 843-876-4413
Julie Mackay Hughes, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2070 Northbook Blvd, Ste A16, Charleston, SC 29405
Phone: 843-818-6102    
Kristen Slagel Garrett, CPNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2051 Charlie Hall Blvd, Charleston, SC 29414
Phone: 843-573-2535    Fax: 843-573-2534
Lindsey Hendrickson, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 171 Ashley Ave, Charleston, SC 29425
Phone: 843-792-1414    
Mrs. Erin Kosak, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 109 Wappoo Creek Dr, Charleston, SC 29412
Phone: 843-796-7171    Fax: 843-795-7171

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