Dr Edward P Fody, MD in Holland, MI

Dr Edward P Fody, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Holland, Michigan. His current practice location is 602 Michigan Ave, Holland, Michigan. You can reach out to his office (for appointments etc.) via phone at (517) 403-0763.

Dr Edward P Fody is licensed to practice in Michigan (license number 4301084665) 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 1619950649.

Contact Information

	Dr Edward P Fody, MD
	602 Michigan Ave, Holland, MI 49423-4918
	(517) 403-0763
	(800) 576-8369

Map and Direction

Physician's Profile

Full Name	Dr Edward P Fody
Gender	Male
Speciality	Pathology - Anatomic Pathology & Clinical Pathology
Location	602 Michigan Ave, Holland, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619950649
Provider Enumeration Date: 11/23/2005
Last Update Date: 01/23/2014

Medicare PECOS Information:

PECOS PAC ID: 8123085628
Enrollment ID: I20050202000138

Medical Identifiers

Medical identifiers for Dr Edward P Fody such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619950649	NPI	-	NPPES
4704015	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	4301084665 (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. Dr Edward P Fody allows following entities to bill medicare on his behalf.

Entity Name	Western Michigan Pathology Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053394080 PECOS PAC ID: 4880758705 Enrollment ID: O20090121000481

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 Edward P Fody 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
Dr Edward P Fody, MD 5700 Southwyck Blvd, Toledo, OH 43614-1509 Ph: (800) 288-8325	Dr Edward P Fody, MD 602 Michigan Ave, Holland, MI 49423-4918 Ph: (517) 403-0763

Reviews and Comments

Pathology Doctors in Holland, MI

Dr. Sarah Marie Wilkins, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 602 Michigan Ave, Holland, MI 49423 Phone: 616-394-3287
Dr. Jerry Mcnicoll Gray, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 145 Columbia Ave, Holland, MI 49423 Phone: 734-255-3884 Fax: 734-971-7079
Dr. Matthew David Carr, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 602 Michigan Ave, Holland, MI 49423 Phone: 616-394-3185 Fax: 616-494-4003

Dr Edward P Fody, MD - Medicare Pathology in Holland, MI