Mr David Fossum, PAC in Pierre, SD - Medicare Physician Assistant

Mr David Fossum, PAC is a medicare enrolled "Physician Assistant" in Pierre, South Dakota. His current practice location is 101 Mercury St, Pierre, South Dakota. You can reach out to his office (for appointments etc.) via phone at (605) 891-4839.

Mr David Fossum is licensed to practice in South Dakota (license number 0413) 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 1992757348.

Contact Information

	Mr David Fossum, PAC
	101 Mercury St, Pierre, SD 57501-5672
	(605) 891-4839
	(605) 612-7251

Provider's Profile

Full Name	Mr David Fossum
Gender	Male
Speciality	Physician Assistant
Location	101 Mercury St, Pierre, South Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992757348
Provider Enumeration Date: 05/16/2006
Last Update Date: 03/19/2024

Medicare PECOS Information:

PECOS PAC ID: 2769456730
Enrollment ID: I20200611000884

Medical Identifiers

Medical identifiers for Mr David Fossum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992757348	NPI	-	NPPES
6826162	Medicaid	SD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	0413 (South Dakota)	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. Mr David Fossum 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
Mr David Fossum, PAC 101 Mercury St, Pierre, SD 57501-5672 Ph: (605) 891-4839	Mr David Fossum, PAC 101 Mercury St, Pierre, SD 57501-5672 Ph: (605) 891-4839

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Physician Assistant Nurses in Pierre, SD

Mrs. Carla Marie Heller, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 521 E Sioux Ave, Pierre, SD 57501 Phone: 605-945-5560 Fax: 605-224-0369
Darcy J Mcclelland, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Mac Lane, Avera Medical Group Pierre, Pierre, SD 57501 Phone: 605-945-5255 Fax: 605-945-5295
Ranni Mikael Hopkins, PA-S Physician Assistant Medicare: Medicare Enrolled Practice Location: 1209 E Erskine St, Pierre, SD 57501 Phone: 605-490-3483
Alyssa Jo Etzkorn, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Mac Ln, Pierre, SD 57501 Phone: 605-945-5277 Fax: 605-945-5389
Mrs. Megan Blanche Knoll, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 801 E Sioux Ave, Pierre, SD 57501 Phone: 605-224-3100
Sara T Granville, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Mac Ln, Avera Medical Group Pierre, Pierre, SD 57501 Phone: 605-945-5202 Fax: 605-945-5094
Ms. Vicki Blake-nafus, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Mac Lane, Avera Medical Group Pierre, Pierre, SD 57501 Phone: 605-945-5348 Fax: 605-747-5348

Mr David Fossum, PAC - Medicare Physician Assistant in Pierre, SD