Dr Michael S Fozo, MD - Medicare Otolaryngology in Saint Clair Shores, MI

Dr Michael S Fozo, MD is a medicare enrolled "Otolaryngology - Plastic Surgery Within The Head & Neck" physician in Saint Clair Shores, Michigan. He went to New York Medical College and graduated in 1997 and has 27 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Ascension St John Hospital, Lakeshore Ear Nose And Throat Center Pc and his current practice location is 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, Michigan. You can reach out to his office (for appointments etc.) via phone at (586) 779-7610.

Dr Michael S Fozo is licensed to practice in Michigan (license number MF075562) 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 1114019627.

Contact Information

Dr Michael S Fozo, MD
21000 E 12 Mile Rd, Suite 111,
Saint Clair Shores, MI 48081-1116
(586) 779-7610
Not Available

Map and Direction




Physician's Profile

Full NameDr Michael S Fozo
GenderMale
SpecialityOtolaryngology
Experience27 Years
Location21000 E 12 Mile Rd, Saint Clair Shores, Michigan
Accepts Medicare AssignmentsYes. 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 Michael S Fozo attended and graduated from New York Medical College in 1997
  NPI Data:
  • NPI Number: 1114019627
  • Provider Enumeration Date: 09/29/2006
  • Last Update Date: 10/05/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 4789871971
  • Enrollment ID: I20101214000912

Medical Identifiers

Medical identifiers for Dr Michael S Fozo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114019627NPI-NPPES
4339229OtherAETNA
H68407OtherHEALTH ALLIANCE PLAN
0501379OtherBLUE CARE NETWORK
4505853MedicaidMI
136815OtherCARE CHOICES
P00014677OtherRAILROAD MEDICARE
141736OtherGREAT LAKES HEALTH PLAN
16056OtherMCAR
6029816OtherCIGNA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207YX0007XOtolaryngology - Plastic Surgery Within The Head & Neck MF075562 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ascension St John HospitalDetroit, MIHospital
Henry Ford Macomb HospitalClinton township, MIHospital
Beaumont Hospital - Grosse PointeGrosse pointe, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ascension St John Hospital3173424082279
Lakeshore Ear Nose And Throat Center Pc73159289349

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 S Fozo allows following entities to bill medicare on his behalf.
Entity NameAscension Medical Group Michigan
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942317631
PECOS PAC ID: 0648180406
Enrollment ID: O20031113000362
Entity NameAscension St John Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043478910
PECOS PAC ID: 3173424082
Enrollment ID: O20040115000409
Entity NameLakeshore Ear Nose And Throat Center Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285803346
PECOS PAC ID: 7315928934
Enrollment ID: O20040528000112

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 S Fozo 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 AddressPractice Location Address
Dr Michael S Fozo, MD
21000 E 12 Mile Rd, Ste 111,
St Clair Shores, MI 48081

Ph: (586) 779-7610
Dr Michael S Fozo, MD
21000 E 12 Mile Rd, Suite 111,
Saint Clair Shores, MI 48081-1116

Ph: (586) 779-7610

Reviews and Comments


Otolaryngology Doctors in Saint Clair Shores, MI

Dr. Douglas Carl Kubek, D.O.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 21000 E 12 Mile Rd, Ste 111, Saint Clair Shores, MI 48081
Phone: 586-779-7610    Fax: 586-779-1391
Dr. Andrew Bennett Sewell, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 21000 E 12 Mile Rd Ste 111, Saint Clair Shores, MI 48081
Phone: 586-779-7610    Fax: 586-779-0031
Dr. Andrew I. Dzul, M.D.
Otolaryngology
Medicare: Medicare Enrolled
Practice Location: 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081
Phone: 586-779-7610    
Dr. Adam D Rubin, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081
Phone: 586-779-7610    
Dr. Robert E Brammer, MD
Otolaryngology
Medicare: Not Enrolled in Medicare
Practice Location: 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081
Phone: 586-779-7610    
Cameron M Heilbronn, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 21000 E 12 Mile Rd Ste 111, Saint Clair Shores, MI 48081
Phone: 586-779-7610    Fax: 586-779-7882

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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