Individual
ANNA FOGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
303 FISHER RUN RD, BLOOMSBURG, PA 17815-7435
(570) 332-5280
(570) 332-5280
Mailing address
303 FISHER RUN RD, BLOOMSBURG, PA 17815-7435
(570) 332-5280
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT016699L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3689029
AETNA HMO PROVIDER #
PA
01
—
372926
HIGHMARK BS GROUP NO.
PA
01
—
50038611
CAPITAL BLUE CROSS #
PA
Enumeration date
07/03/2006
Last updated
03/25/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us