Dr Fadi H Delly, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Wyandotte, Michigan. He went to Wayne State University School Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Neurology. He is a member of the group practice Fadi Delly, Md Pc and his current practice location is
2211 Fort St, Wyandotte, Michigan. You can reach out to his office (for appointments etc.) via phone at
(734) 357-0505.
Dr Fadi H Delly is licensed to practice in Michigan (license number 4301094922) 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 1104137967.
Physician's Profile
| Full Name | Dr Fadi H Delly |
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| Gender | Male |
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| Speciality | Neurology |
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| Experience | 15 Years |
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| Location | 2211 Fort St, Wyandotte, Michigan |
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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 Fadi H Delly attended and graduated from Wayne State University School Of Medicine in 2009
NPI Data:
- NPI Number: 1104137967
- Provider Enumeration Date: 06/27/2010
- Last Update Date: 12/28/2020
Medicare PECOS Information:
- PECOS PAC ID: 4183847767
- Enrollment ID: I20140529001178
Medical Identifiers
Medical identifiers for Dr Fadi H Delly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104137967 | NPI | - | NPPES |
| 4301094922 | Other | MI | MEDICAL LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 4301094922 (Michigan) | Primary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 4301094922 (Michigan) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Fadi Delly, Md Pc | 1052616273 | 2 |
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 Fadi H Delly allows following entities to bill medicare on his behalf.
| Entity Name | W.a. Foote Memorial Hospital, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760437826
PECOS PAC ID: 0244136067
Enrollment ID: O20031212000691 |
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| Entity Name | Fadi Delly, Md Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992170187
PECOS PAC ID: 1052616273
Enrollment ID: O20160226000264 |
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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 Fadi H Delly 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 Fadi H Delly, MD
2211 Fort St,
Wyandotte, MI 48192-4135
Ph: (734) 357-0505 | Dr Fadi H Delly, MD
2211 Fort St,
Wyandotte, MI 48192-4135
Ph: (734) 357-0505 |
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