Roxanne Fahrenwald, MD
Individual provider Active NPI Family Medicine Physician · Billings, MT
NPI 1104810688 · NPPES record last updated Jun 3, 2015
Key facts
- NPI
- 1104810688
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 8427 (MT)
- Practice address
- 123 S 27TH St
Billings, MT 59101-4200 - Phone
- (406) 247-3350
- NPI assigned
- Sep 9, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Loyola University of Chicago, Stritch School of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Yellowstone City-County Health Dept
Practice addresses (Care Compare)
123 S 27 St
Billings, MT 59101-4200
123 S 27TH St
Billings, MT 59101-4227
Phone (406) 247-3200
Hospital & facility affiliations
- Intermountain Health St Vincent Regional Hospital
- Billings Clinic Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040612000623 | MT | Practitioner - Family Practice |
3870576440 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8427 | MT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yellowstone City-County Health Dept | Current |
Accepting new patients | |
| Yellowstone City-County Health Department | Current |
Accepting new patients | |
| Billings Clinic | Past | Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients | |
| SCL Health Montana | Past | Accepting new patients | |
| Yellowstone City-County Health Department | Past | Accepting new patients |
Locations
2900 12th Ave N
Ste 140W
Billings, MT 59101
Phone (406) 237-5050
2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290
123 S 27th St
Billings, MT 59101
Phone (406) 247-3200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 8427 | MT | Yes |
Addresses
Primary practice location
123 S 27TH St
Billings, MT 59101-4200
Mailing address
123 S 27TH St
Billings, MT 59101-4227
Phone (406) 247-3350
Other providers in Billings, MT
- Eyemart Express LLC
- Eyemart Express, LTD.
- Douglas T. Ezell
- Daniel Loren Faaborg
- Mary Fahlman
- Cara Fairbanks
- Alfred D Falcon
- Jamie Falcon
- Michael Fallon
- Rebecca Dawn Fallon
All providers in Billings, MT · Family Medicine Physician in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.