Dr Fayez Kotob, MD, MBA is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Flint, Michigan. He graduated from medical school in 1989 and has 35 years of diverse experience with area of expertise as Pain Management. His current practice location is
5050 Villa Linde Pkwy Ste A, Flint, Michigan. You can reach out to his office (for appointments etc.) via phone at
(810) 230-7400.
Dr Fayez Kotob is licensed to practice in Michigan (license number 4301098964) 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 1346549219.
Physician's Profile
| Full Name | Dr Fayez Kotob |
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| Gender | Male |
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| Speciality | Pain Management |
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| Experience | 35 Years |
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| Location | 5050 Villa Linde Pkwy Ste A, Flint, 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 Fayez Kotob graduated from medical school in 1989
NPI Data:
- NPI Number: 1346549219
- Provider Enumeration Date: 03/17/2011
- Last Update Date: 11/16/2015
Medicare PECOS Information:
- PECOS PAC ID: 8527244540
- Enrollment ID: I20130910000256
Medical Identifiers
Medical identifiers for Dr Fayez Kotob such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1346549219 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 4301098964 (Michigan) | Primary |
| 207L00000X | Anesthesiology | 4301098964 (Michigan) | Secondary |
| 207LH0002X | Anesthesiology - Hospice And Palliative Medicine | 4301098964 (Michigan) | Secondary |
| 207LA0401X | Anesthesiology - Addiction Medicine | 4301098964 (Michigan) | Secondary |
| 207LP3000X | Anesthesiology - Pediatric Anesthesiology | 4301098964 (Michigan) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | 4301098964 (Michigan) | Secondary |
Medical Facilities Affiliation
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 Fayez Kotob allows following entities to bill medicare on his behalf.
| Entity Name | Genesee Medical Anesthesia, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861579542
PECOS PAC ID: 3870488893
Enrollment ID: O20040517000655 |
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| Entity Name | Mid-michigan Pain Management Center Plc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548410798
PECOS PAC ID: 0446312409
Enrollment ID: O20081229000535 |
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| Entity Name | Pain Md Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770971616
PECOS PAC ID: 1355667379
Enrollment ID: O20150309002466 |
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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 Fayez Kotob 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 Fayez Kotob, MD, MBA
Po Box 846,
Grand Blanc, MI 48480-0846
Ph: (810) 230-7400 | Dr Fayez Kotob, MD, MBA
5050 Villa Linde Pkwy Ste A,
Flint, MI 48532-3436
Ph: (810) 230-7400 |
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