Burt I Faibisoff, MD is a medicare enrolled "Plastic Surgery" physician in Prescott, Arizona. His current practice location is
804 Ainsworth Dr Ste 105, Prescott, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 515-1155.
Burt I Faibisoff is licensed to practice in Arizona (license number 13213) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1730128695.
Physician's Profile
| Full Name | Burt I Faibisoff |
|---|
| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 804 Ainsworth Dr Ste 105, Prescott, Arizona |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Burt I Faibisoff attended and graduated from in
NPI Data:
- NPI Number: 1730128695
- Provider Enumeration Date: 06/06/2006
- Last Update Date: 01/16/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Burt I Faibisoff such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730128695 | NPI | - | NPPES |
| 226672 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2082S0105X | Plastic Surgery - Surgery Of The Hand | 13213 (Arizona) | Secondary |
| 208200000X | Plastic Surgery | 13213 (Arizona) | 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. Burt I Faibisoff 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 |
|---|
Burt I Faibisoff, MD
1354 Autumn Walk,
Prescott, AZ 86305-2112
Ph: (602) 476-4074 | Burt I Faibisoff, MD
804 Ainsworth Dr Ste 105,
Prescott, AZ 86301-1624
Ph: (928) 515-1155 |
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