Dr Ilya Fonarov, DO is a medicare enrolled "Hospitalist" physician in Miramar, Florida. His current practice location is
12955 Sw 43rd Ct, Miramar, Florida. You can reach out to his office (for appointments etc.) via phone at
(305) 829-1494.
Dr Ilya Fonarov is licensed to practice in Florida (license number OS9021) 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 1679584098.
Physician's Profile
| Full Name | Dr Ilya Fonarov |
|---|
| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 12955 Sw 43rd Ct, Miramar, Florida |
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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 Ilya Fonarov attended and graduated from in
NPI Data:
- NPI Number: 1679584098
- Provider Enumeration Date: 08/10/2006
- Last Update Date: 06/14/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Ilya Fonarov such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679584098 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | OS 9021 (Florida) | Secondary |
| 208M00000X | Hospitalist | OS9021 (Florida) | Primary |
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 Ilya Fonarov 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 Ilya Fonarov, DO
12955 Sw 43rd Ct,
Miramar, FL 33027-3182
Ph: (305) 829-1494 | Dr Ilya Fonarov, DO
12955 Sw 43rd Ct,
Miramar, FL 33027-3182
Ph: (305) 829-1494 |
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