Dr Evan Bradley Fonger, MD - Medicare Family Medicine in Detroit, MI

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Dr Evan Bradley Fonger, MD is a medicare enrolled "Family Medicine" physician in Detroit, Michigan. His current practice location is 400 Mack Avenue, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 578-5000.

Dr Evan Bradley Fonger is licensed to practice in Michigan (license number 4301087817) 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 1467655886.

Contact Information

Dr Evan Bradley Fonger, MD
400 Mack Avenue,
Detroit, MI 48201
(313) 578-5000
(313) 578-6379

Map and Direction




Physician's Profile

Full NameDr Evan Bradley Fonger
GenderMale
SpecialityFamily Medicine
Location400 Mack Avenue, Detroit, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1467655886
  • Provider Enumeration Date: 06/06/2007
  • Last Update Date: 04/16/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 4981869831
  • Enrollment ID: I20120627000810

Medical Identifiers

Medical identifiers for Dr Evan Bradley Fonger such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467655886NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QH0002XFamily Medicine - Hospice And Palliative Medicine 4301087817 (Michigan)Secondary
207Q00000XFamily Medicine 4301087817 (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 Evan Bradley Fonger allows following entities to bill medicare on his behalf.
Entity NameMymichigan Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740230127
PECOS PAC ID: 4981501939
Enrollment ID: O20040126000905

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 Evan Bradley Fonger 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 AddressPractice Location Address
Dr Evan Bradley Fonger, MD
400 Mack Avenue,
Detroit, MI 48201

Ph: (313) 578-5000		Dr Evan Bradley Fonger, MD
400 Mack Avenue,
Detroit, MI 48201

Ph: (313) 578-5000

Reviews and Comments


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Robert Nmn Sims, DO
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Peter G. Coggan, M.D.MSED
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.