Dr Michael Fenlon, MD is a medicare enrolled "Transplant Surgery" physician in Chicago, Illinois. His current practice location is
225 East Chicago Avenue, Box#57, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at
(312) 227-4646.
Dr Michael Fenlon is licensed to practice in Utah (license number 14158197-1235) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1851779052.
Physician's Profile
Full Name | Dr Michael Fenlon |
---|
Gender | Male |
---|
Speciality | Transplant Surgery |
---|
Location | 225 East Chicago Avenue, Chicago, Illinois |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1851779052
- Provider Enumeration Date: 05/08/2015
- Last Update Date: 10/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 7416203708
- Enrollment ID: I20241101001603
Medical Identifiers
Medical identifiers for Dr Michael Fenlon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851779052 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 135974 (California) | Secondary |
2086S0120X | Surgery - Pediatric Surgery | 036166547 (Illinois) | Secondary |
204F00000X | Transplant Surgery | 14158197-1235 (Utah) | 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 Michael Fenlon allows following entities to bill medicare on his behalf.
Entity Name | University Of Utah Adult Services |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683 |
---|
Entity Name | University Of Utah Pediatric Services |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1487018974 PECOS PAC ID: 0547552473 Enrollment ID: O20160713000371 |
---|
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 Michael Fenlon 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 Michael Fenlon, MD 225 East Chicago Avenue, Box#57, Chicago, IL 60611 Ph: () - | Dr Michael Fenlon, MD 225 East Chicago Avenue, Box#57, Chicago, IL 60611 Ph: (312) 227-4646 |
Reviews and Comments