Anatoli Berezovsky, in Fort Worth, TX - Medicare Family Medicine

Anatoli Berezovsky, is a medicare enrolled "Family Medicine" physician in Fort Worth, Texas. His current practice location is 1500 S Main St Fl 4, Fort Worth, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 702-1215.

Anatoli Berezovsky is licensed to practice in Texas (license number T4891) 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 1467081414.

Contact Information

	Anatoli Berezovsky,
	1500 S Main St Fl 4, Fort Worth, TX 76104-4917
	(817) 702-1215
	Not Available

Map and Direction

Physician's Profile

Full Name	Anatoli Berezovsky
Gender	Male
Speciality	Family Medicine
Location	1500 S Main St Fl 4, Fort Worth, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467081414
Provider Enumeration Date: 04/02/2020
Last Update Date: 06/11/2024

Medicare PECOS Information:

PECOS PAC ID: 5890238109
Enrollment ID: I20240614002120

Medical Identifiers

Medical identifiers for Anatoli Berezovsky such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467081414	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	T4891 (Texas)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Anatoli Berezovsky allows following entities to bill medicare on his behalf.

Entity Name	Acclaim Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780076562 PECOS PAC ID: 4587963582 Enrollment ID: O20160426000707

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. Anatoli Berezovsky 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
Anatoli Berezovsky, 200 W Magnolia Ave Ste 201, Fort Worth, TX 76104-7657 Ph: (817) 702-2977	Anatoli Berezovsky, 1500 S Main St Fl 4, Fort Worth, TX 76104-4917 Ph: (817) 702-1215

Reviews and Comments

Family Medicine Doctors in Fort Worth, TX

Jonathan A Lazarini, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1500 S Main St, Fort Worth, TX 76104 Phone: 903-353-2265
Mrs. Adeline Galvez, Family Medicine Medicare: Medicare Enrolled Practice Location: 1300 W Terrell Ave Ste 270, Fort Worth, TX 76104 Phone: 817-250-4987
Fomundam Newnton Mbuh, NP Family Medicine Medicare: Medicare Enrolled Practice Location: 4759 South Fwy Ste 101, Fort Worth, TX 76115 Phone: 817-382-0005
Dr. Joane Baumer, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1500 S Main St, Family Medicine Center, Fort Worth, TX 76104 Phone: 817-335-1034
Evelyn Tobias-merrill, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2825 Stadium Dr, Fort Worth, TX 76109 Phone: 817-257-7940
Dr. Michael David Carletti, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 855 Montgomery St, Fort Worth, TX 76107 Phone: 817-735-0278
Jonathan Patrick Angel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 N Beach St Ste 104, Fort Worth, TX 76111 Phone: 817-831-1750 Fax: 817-831-1750

Anatoli Berezovsky, - Medicare Family Medicine in Fort Worth, TX