Dr Ivan Fomitchev, MD in San Antonio, TX

Dr Ivan Fomitchev, MD is a medicare enrolled "Anesthesiology" physician in San Antonio, Texas. He graduated from medical school in 1989 and has 35 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Sanford Health Of Northern Minnesota and his current practice location is 8711 Wales Reserve, San Antonio, Texas. You can reach out to his office (for appointments etc.) via phone at (563) 564-1283.

Dr Ivan Fomitchev is licensed to practice in Iowa (license number 34875) 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 1699742312.

Contact Information

	Dr Ivan Fomitchev, MD
	8711 Wales Reserve, San Antonio, TX 78255-3371
	(563) 564-1283
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Ivan Fomitchev
Gender	Male
Speciality	Anesthesiology
Experience	35 Years
Location	8711 Wales Reserve, San Antonio, Texas
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 Ivan Fomitchev graduated from medical school in 1989

NPI Data:

NPI Number: 1699742312
Provider Enumeration Date: 03/01/2006
Last Update Date: 05/19/2021

Medicare PECOS Information:

PECOS PAC ID: 8325060239
Enrollment ID: I20230830000345

Medical Identifiers

Medical identifiers for Dr Ivan Fomitchev such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699742312	NPI	-	NPPES
0274506	Medicaid	IA
34312600	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208VP0000X	Pain Medicine - Pain Medicine	34875 (Iowa)	Secondary
207L00000X	Anesthesiology	34875 (Iowa)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sanford Health Of Northern Minnesota	5597725168	284

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 Ivan Fomitchev allows following entities to bill medicare on his behalf.

Entity Name	Sanford Health Of Northern Minnesota
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770849697 PECOS PAC ID: 5597725168 Enrollment ID: O20041025000442

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 Ivan Fomitchev 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 Ivan Fomitchev, MD 8711 Wales Reserve, San Antonio, TX 78255-3371 Ph: (563) 564-1283	Dr Ivan Fomitchev, MD 8711 Wales Reserve, San Antonio, TX 78255-3371 Ph: (563) 564-1283

Reviews and Comments

Anesthesiology Doctors in San Antonio, TX

Timothy J Rutz, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 4242 Medical Dr Ste 3100, San Antonio, TX 78229 Phone: 210-615-1187 Fax: 210-614-2180
Scott Taylor Kane, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4242 Medical Dr, Suite 3100, San Antonio, TX 78229 Phone: 210-615-1187 Fax: 210-614-2180
Dr. Dane Bailey, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 7703 Floyd Curl Dr, San Antonio, TX 78229 Phone: 210-567-4509
John Jeffrey Hartman, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1642 Lockhill Selma Rd, San Antonio, TX 78213 Phone: 210-233-9331 Fax: 210-233-9454
Nita Elizabeth Kuttikandathil, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 7703 Floyd Curl Dr # 7838, San Antonio, TX 78229 Phone: 281-750-5341
Dr. Kamala Rao, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 234 San Pedro Ave, San Antonio, TX 78205 Phone: 210-224-2424 Fax: 210-224-2040
Mark E Crum, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 4242 Medical Dr, Suite 3100, San Antonio, TX 78229 Phone: 210-615-1187 Fax: 210-614-2180

Dr Ivan Fomitchev, MD - Medicare Anesthesiology in San Antonio, TX