Dr Ilya Fonarov, DO is a medicare enrolled "Hospitalist" physician in Miramar, Florida. He graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Public Health Trust Of Miami Dade County Florida and 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 |
|---|
| Speciality | Internal Medicine |
|---|
| Experience | 22 Years |
|---|
| Location | 12955 Sw 43rd Ct, Miramar, Florida |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Dr Ilya Fonarov graduated from medical school in 2002
NPI Data:
- NPI Number: 1679584098
- Provider Enumeration Date: 08/10/2006
- Last Update Date: 06/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 4183727282
- Enrollment ID: I20070525000479
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 |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Public Health Trust Of Miami Dade County Florida | 0244380434 | 375 |
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 Ilya Fonarov allows following entities to bill medicare on his behalf.
| Entity Name | Cogent Healthcare Of Pensacola Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1346287182
PECOS PAC ID: 1153226766
Enrollment ID: O20031205000170 |
|---|
| Entity Name | Public Health Trust Of Miami Dade County Florida |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1134384423
PECOS PAC ID: 0244380434
Enrollment ID: O20090610000019 |
|---|
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 |
Reviews and Comments