Dr Kevin Anthony Fajardo, MD, MPH, MTMH is a medicare enrolled "Dermatology" physician in Eglin Afb, Florida. He went to Uniformed Services Uhs Fe Hebert School Of Med and graduated in 2004 and has 20 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Forefront Dermatology, Silver Falls Dermatology Llc and his current practice location is
307 Boatner Rd, Eglin Afb, Florida. You can reach out to his office (for appointments etc.) via phone at
(850) 883-8600.
Dr Kevin Anthony Fajardo is licensed to practice in Florida (license number ME142177) 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 1922146596.
Physician's Profile
| Full Name | Dr Kevin Anthony Fajardo |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 20 Years |
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| Location | 307 Boatner Rd, Eglin Afb, 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 Kevin Anthony Fajardo attended and graduated from Uniformed Services Uhs Fe Hebert School Of Med in 2004
NPI Data:
- NPI Number: 1922146596
- Provider Enumeration Date: 02/03/2007
- Last Update Date: 03/05/2021
Medicare PECOS Information:
- PECOS PAC ID: 7618303132
- Enrollment ID: I20200131001966
Medical Identifiers
Medical identifiers for Dr Kevin Anthony Fajardo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922146596 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | ME142177 (Florida) | Primary |
| 208D00000X | General Practice | 0061102 (Colorado) | Secondary |
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | 01061083A (Indiana) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Forefront Dermatology | 3779471701 | 483 |
| Silver Falls Dermatology Llc | 5890863492 | 81 |
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 Kevin Anthony Fajardo allows following entities to bill medicare on his behalf.
| Entity Name | Forefront Dermatology Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154815546
PECOS PAC ID: 3779471701
Enrollment ID: O20181019000122 |
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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 Kevin Anthony Fajardo 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 Kevin Anthony Fajardo, MD, MPH, MTMH
307 Boatner Rd,
Eglin Afb, FL 32542-1302
Ph: (850) 883-8600 | Dr Kevin Anthony Fajardo, MD, MPH, MTMH
307 Boatner Rd,
Eglin Afb, FL 32542-1302
Ph: (850) 883-8600 |
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