Dr Fayez Kotob, MD, MBA is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Flint, Michigan. 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 | |
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| Experience | 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 attended and graduated from in
NPI Data:
- NPI Number: 1346549219
- Provider Enumeration Date: 03/17/2011
- Last Update Date: 11/16/2015
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Fayez Kotob such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346549219 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 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 |
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 |
|---|
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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