Daniel Adrian Fajardo, MD in Brunswick, GA

Daniel Adrian Fajardo, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Brunswick, Georgia. He graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Southeastern Pathology Associates Pc and his current practice location is 3011 Hampton Ave, Brunswick, Georgia. You can reach out to his office (for appointments etc.) via phone at (912) 261-2669.

Daniel Adrian Fajardo is licensed to practice in Georgia (license number 062687) 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 1346443959.

Contact Information

	Daniel Adrian Fajardo, MD
	3011 Hampton Ave, Brunswick, GA 31520-4264
	(912) 261-2669
	(912) 261-0561

Map and Direction

Physician's Profile

Full Name	Daniel Adrian Fajardo
Gender	Male
Speciality	Pathology
Experience	22 Years
Location	3011 Hampton Ave, Brunswick, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Daniel Adrian Fajardo graduated from medical school in 2002

NPI Data:

NPI Number: 1346443959
Provider Enumeration Date: 06/09/2007
Last Update Date: 08/19/2009

Medicare PECOS Information:

PECOS PAC ID: 0345393435
Enrollment ID: I20090807000192

Medical Identifiers

Medical identifiers for Daniel Adrian Fajardo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346443959	NPI	-	NPPES
BP2-0021332	Other		INSTITUTIONAL PERMIT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	062687 (Georgia)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Southeast Georgia Health System- Brunswick Campus	Brunswick, GA	Hospital
Wayne Memorial Hospital	Jesup, GA	Hospital
Bacon County Hospital	Alma, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southeastern Pathology Associates Pc	5890781371	47

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. Daniel Adrian Fajardo allows following entities to bill medicare on his behalf.

Entity Name	Southeastern Pathology Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821104704 PECOS PAC ID: 5890781371 Enrollment ID: O20040421000744

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. Daniel Adrian Fajardo 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
Daniel Adrian Fajardo, MD 3011 Hampton Ave, Brunswick, GA 31520-4264 Ph: (912) 261-2669	Daniel Adrian Fajardo, MD 3011 Hampton Ave, Brunswick, GA 31520-4264 Ph: (912) 261-2669

Reviews and Comments

Pathology Doctors in Brunswick, GA

Dr. Yumi Angerica Kojima, D.O. Pathology Medicare: Accepting Medicare Assignments Practice Location: 203 Indigo Dr, Brunswick, GA 31525 Phone: 912-261-2669 Fax: 912-261-0561
Ningxing Chen, D.O. Pathology Medicare: Accepting Medicare Assignments Practice Location: 203 Indigo Dr, Brunswick, GA 31525 Phone: 912-261-2669
Rena Burlingame Rengo, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 203 Indigo Dr, Brunswick, GA 31525 Phone: 912-261-2669
Shyamala Yennam, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 203 Indigo Dr, Brunswick, GA 31525 Phone: 912-261-2669 Fax: 912-261-0561
Janet O. Hon, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 3011 Hampton Ave, Sepa, Brunswick, GA 31520 Phone: 912-261-2669 Fax: 912-261-0561
Carolyn Kinzer-bezanson Wall, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 203 Indigo Drive, Southeastern Pathology Associates, Pc, Brunswick, GA 31525 Phone: 912-279-1900 Fax: 912-261-0753
Rose P Draviam, M. D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 3011 Hampton Ave, Brunswick, GA 31520 Phone: 912-261-2669 Fax: 912-261-0561

Daniel Adrian Fajardo, MD - Medicare Pathology in Brunswick, GA