Mrs Kimberly B Fogarty, PAC - Physician Assistant in Washington, DC

Mrs Kimberly B Fogarty, PAC is a Physician Assistant - Medical based in Washington, District Of Columbia. Mrs Kimberly B Fogarty is licensed to practice in Virginia (license number 0110001588) and her current practice location is 2440 M St Nw, Suite 205, Washington, District Of Columbia. She can be reached at her office (for appointments etc.) via phone at (202) 955-0003.

NPI number for Mrs Kimberly B Fogarty is 1053405027 and her current mailing address is 2440 M St Nw, Suite 205, Washington, District Of Columbia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053405027.

Contact Information

Mrs Kimberly B Fogarty, PAC
2440 M St Nw, Suite 205,
Washington, DC 20037-1404
(202) 955-0003
(866) 457-0397



Provider's Profile

Full NameMrs Kimberly B Fogarty
GenderFemale
SpecialityPhysician Assistant - Medical
Location2440 M St Nw, Washington, District Of Columbia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1053405027
  • Provider Enumeration Date: 10/03/2006
  • Last Update Date: 03/07/2023

Medical Identifiers

Medical identifiers for Mrs Kimberly B Fogarty such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053405027NPI-NPPES
145453OtherNCLICENSE
0110001588OtherVALICENSE
PA030663OtherDCLICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 0110001588 (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. Mrs Kimberly B Fogarty is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Kimberly B Fogarty, PAC
2440 M St Nw, Suite 205,
Washington, DC 20037-1404

Ph: (202) 955-0003
Mrs Kimberly B Fogarty, PAC
2440 M St Nw, Suite 205,
Washington, DC 20037-1404

Ph: (202) 955-0003

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