Dr Joseph John Fonagy Sr, DDS is a medicare enrolled "Dentist" provider in Brookfield, Ohio. His current practice location is
7314 Warren Sharon Rd, Brookfield, Ohio. You can reach out to his office (for appointments etc.) via phone at
(330) 448-0200.
Dr Joseph John Fonagy Sr is licensed to practice in Ohio (license number 17336) 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 1326079963.
Healthcare Provider's Profile
| Full Name | Dr Joseph John Fonagy Sr |
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| Gender | Male |
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| Speciality | Dentist |
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| Location | 7314 Warren Sharon Rd, Brookfield, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1326079963
- Provider Enumeration Date: 07/05/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 5395040638
- Enrollment ID: I20160224000498
Medical Identifiers
Medical identifiers for Dr Joseph John Fonagy Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326079963 | NPI | - | NPPES |
| 0521780 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 17336 (Ohio) | 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. Dr Joseph John Fonagy Sr 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 |
|---|
Dr Joseph John Fonagy Sr, DDS
7314 Warren Sharon Rd,
Brookfield, OH 44403-9611
Ph: (330) 448-0200 | Dr Joseph John Fonagy Sr, DDS
7314 Warren Sharon Rd,
Brookfield, OH 44403-9611
Ph: (330) 448-0200 |
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