Anthony Coyle Fasi, DDS, MD - Medicare Dentist in Ann Arbor, MI

Anthony Coyle Fasi, DDS, MD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Ann Arbor, Michigan. His current practice location is 2058 South State Street, Suite 100, Ann Arbor, Michigan. You can reach out to his office (for appointments etc.) via phone at (734) 769-5302.

Anthony Coyle Fasi is licensed to practice in Michigan (license number 2901020181) 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 1659690204.

Contact Information

Anthony Coyle Fasi, DDS, MD
2058 South State Street, Suite 100,
Ann Arbor, MI 48104
(734) 769-5302
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameAnthony Coyle Fasi
GenderMale
SpecialityDentist - Oral And Maxillofacial Surgery
Location2058 South State Street, Ann Arbor, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1659690204
  • Provider Enumeration Date: 05/21/2010
  • Last Update Date: 10/06/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 7719294354
  • Enrollment ID: I20150915002517

Medical Identifiers

Medical identifiers for Anthony Coyle Fasi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659690204NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223S0112XDentist - Oral And Maxillofacial Surgery 2901020181 (Michigan)Primary
390200000XStudent In An Organized Health Care Education/training Program 2901020181 (Michigan)Secondary

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. Anthony Coyle Fasi 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
Anthony Coyle Fasi, DDS, MD
2058 South State Street, Suite 100,
Ann Arbor, MI 48104

Ph: () -
Anthony Coyle Fasi, DDS, MD
2058 South State Street, Suite 100,
Ann Arbor, MI 48104

Ph: (734) 769-5302

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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