Dr Gennadiy Fuzaylov, MD in Boston, MA - Medicare Anesthesiology

Dr Gennadiy Fuzaylov, MD is a medicare enrolled "Anesthesiology" physician in Boston, Massachusetts. His current practice location is 55 Fruit St, Cln 309, Boston, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (617) 726-3030.

Dr Gennadiy Fuzaylov is licensed to practice in Massachusetts (license number 210490) 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 1720079627.

Contact Information

	Dr Gennadiy Fuzaylov, MD
	55 Fruit St, Cln 309, Boston, MA 02114-2696
	(617) 726-3030
	(617) 726-7536

Map and Direction

Physician's Profile

Full Name	Dr Gennadiy Fuzaylov
Gender	Male
Speciality	Anesthesiology
Location	55 Fruit St, Boston, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720079627
Provider Enumeration Date: 10/31/2005
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 1557542198
Enrollment ID: I20110302000120

Medical Identifiers

Medical identifiers for Dr Gennadiy Fuzaylov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720079627	NPI	-	NPPES
0180394	Medicaid	MA
J25410	Other	MA	BCBS MA
210490	Other	MA	TUFTS HEALTH PLAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	210490 (Massachusetts)	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 Gennadiy Fuzaylov allows following entities to bill medicare on his behalf.

Entity Name	Massachusetts General Physicians Organization Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801874573 PECOS PAC ID: 2466365820 Enrollment ID: O20031111000434

Entity Name	The General Hospital Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023049236 PECOS PAC ID: 6507803806 Enrollment ID: O20080313000351

Entity Name	The Shriners Hospital For Children
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285078444 PECOS PAC ID: 5496947301 Enrollment ID: O20131219000781

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 Gennadiy Fuzaylov 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 Gennadiy Fuzaylov, MD Po Box 9142, Charlestown, MA 02129-9142 Ph: (617) 724-0287	Dr Gennadiy Fuzaylov, MD 55 Fruit St, Cln 309, Boston, MA 02114-2696 Ph: (617) 726-3030

Reviews and Comments

Anesthesiology Doctors in Boston, MA

Stephen G. Flynn, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000
Dr. Dusan Hanidziar, M.D., PH.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 55 Fruit St, Gray-bigelow 444, Boston, MA 02114 Phone: 617-726-3030
Dr. Michael Christopher Lubrano, M.D., M.P.H. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 75 Francis St, Boston, MA 02115 Phone: 617-732-8210
Vahid Kiarad, M.D Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 330 Brookline Ave, Boston, MA 02215 Phone: 617-667-7000
Kendrick M Shaw, MD, PHD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 Phone: 617-726-3030
Dr. Peter Sidhom, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 800 Washington St, Boston, MA 02111 Phone: 603-560-2276
John William Carl Carter Mallett, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 75 Francis St, Boston, MA 02115 Phone: 617-732-5500

Dr Gennadiy Fuzaylov, MD - Medicare Anesthesiology in Boston, MA