Dr Daren Fomin, DO is a medicare enrolled "Dermatology" physician in Ft Riley, Kansas. He went to Campbell Univ School Of Osteopathic Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Heartland Dermatology And Skin Cancer Center, Pa and his current practice location is
650 Huebner Rd, Ft Riley, Kansas. You can reach out to his office (for appointments etc.) via phone at
(785) 239-8341.
Dr Daren Fomin is licensed to practice in Kansas (license number 05-44847) 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 1982132510.
Physician's Profile
| Full Name | Dr Daren Fomin |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 7 Years |
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| Location | 650 Huebner Rd, Ft Riley, Kansas |
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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:
- Dr Daren Fomin attended and graduated from Campbell Univ School Of Osteopathic Medicine in 2017
NPI Data:
- NPI Number: 1982132510
- Provider Enumeration Date: 05/26/2017
- Last Update Date: 02/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 1254732993
- Enrollment ID: I20210701001131
Medical Identifiers
Medical identifiers for Dr Daren Fomin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1982132510 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 0102205409 (Virginia) | Secondary |
| 207N00000X | Dermatology | 05-44847 (Kansas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Heartland Dermatology And Skin Cancer Center, Pa | 1951388289 | 28 |
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. Dr Daren Fomin allows following entities to bill medicare on his behalf.
| Entity Name | Heartland Dermatology And Skin Cancer Center, Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538135207
PECOS PAC ID: 1951388289
Enrollment ID: O20040702001126 |
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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 Daren Fomin 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 |
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Dr Daren Fomin, DO
1037 Lobdell Dr,
Manhattan, KS 66503-7610
Ph: () - | Dr Daren Fomin, DO
650 Huebner Rd,
Ft Riley, KS 66442-4030
Ph: (785) 239-8341 |
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