Brian Toshiro Fry, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Ann Arbor, Michigan. His current practice location is
1500 E Medical Center Drive, Taubman Center 2nd Floor, Reception F, Ann Arbor, Michigan. You can reach out to his office (for appointments etc.) via phone at
(734) 936-5738.
Brian Toshiro Fry is licensed to practice in Michigan (license number 4351044103) 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 1124681911.
Physician's Profile
Full Name | Brian Toshiro Fry |
---|
Gender | Male |
---|
Speciality | Student In An Organized Health Care Education/training Program |
---|
Location | 1500 E Medical Center Drive, Ann Arbor, Michigan |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1124681911
- Provider Enumeration Date: 04/17/2019
- Last Update Date: 08/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 4688916075
- Enrollment ID: I20240222000326
Medical Identifiers
Medical identifiers for Brian Toshiro Fry such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124681911 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 4301507403 (Michigan) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 4351044103 (Michigan) | Primary |
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. Brian Toshiro Fry allows following entities to bill medicare on his behalf.
Entity Name | Beaumont Medical Group Hospital Based Services |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1427567858 PECOS PAC ID: 3072875889 Enrollment ID: O20180314001796 |
---|
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. Brian Toshiro Fry 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 |
Brian Toshiro Fry, MD 1500 E Medical Center Drive, 2920 Tc, Ann Arbor, MI 48109-5331 Ph: () - | Brian Toshiro Fry, MD 1500 E Medical Center Drive, Taubman Center 2nd Floor, Reception F, Ann Arbor, MI 48109-5332 Ph: (734) 936-5738 |
Reviews and Comments