Dr Mariam Fofana, MD, PHD in New Haven, CT - Medicare Emergency Medicine

Dr Mariam Fofana, MD, PHD is a medicare enrolled "Emergency Medicine" physician in New Haven, Connecticut. Her current practice location is 333 Cedar St, New Haven, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 785-7059.

Dr Mariam Fofana is licensed to practice in Massachusetts (license number 271675) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1649540535.

Contact Information

	Dr Mariam Fofana, MD, PHD
	333 Cedar St, New Haven, CT 06510-3206
	(203) 785-7059
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Mariam Fofana
Gender	Female
Speciality	Emergency Medicine
Location	333 Cedar St, New Haven, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649540535
Provider Enumeration Date: 01/09/2012
Last Update Date: 07/28/2022

Medicare PECOS Information:

PECOS PAC ID: 0244504215
Enrollment ID: I20230202000267

Medical Identifiers

Medical identifiers for Dr Mariam Fofana such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649540535	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	271675 (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 Mariam Fofana allows following entities to bill medicare on her behalf.

Entity Name	Yale University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205822236 PECOS PAC ID: 9436061736 Enrollment ID: O20031105000015

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 Mariam Fofana 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 Mariam Fofana, MD, PHD 333 Cedar St, New Haven, CT 06510-3206 Ph: () -	Dr Mariam Fofana, MD, PHD 333 Cedar St, New Haven, CT 06510-3206 Ph: (203) 785-7059

Reviews and Comments

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Mr. Jonathan Meldrum, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 464 Congress Ave, Suite #260, New Haven, CT 06519 Phone: 203-737-2644
John Richard Deguardi, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 20 York St, New Haven, CT 06510 Phone: 518-698-7975

Dr Mariam Fofana, MD, PHD - Medicare Emergency Medicine in New Haven, CT