Dylan Douglas Fortman, MD in Ann Arbor, MI - Medicare Internal Medicine

Dylan Douglas Fortman, MD is a medicare enrolled "Internal Medicine - Hematology & Oncology" physician in Ann Arbor, Michigan. His current practice location is 1500 E. Medical Center Drive, Ann Arbor, Michigan. You can reach out to his office (for appointments etc.) via phone at (734) 647-8902.

Dylan Douglas Fortman is licensed to practice in Michigan (license number 4351052083) 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 1922621895.

Contact Information

	Dylan Douglas Fortman, MD
	1500 E. Medical Center Drive, Ann Arbor, MI 48109-5848
	(734) 647-8902
	Not Available

Map and Direction

Physician's Profile

Full Name	Dylan Douglas Fortman
Gender	Male
Speciality	Internal Medicine - Hematology & Oncology
Location	1500 E. Medical Center Drive, Ann Arbor, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922621895
Provider Enumeration Date: 05/26/2020
Last Update Date: 07/01/2024

Medicare PECOS Information:

PECOS PAC ID: 7719308683
Enrollment ID: I20230606002657

Medical Identifiers

Medical identifiers for Dylan Douglas Fortman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922621895	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RH0003X	Internal Medicine - Hematology & Oncology	4351052083 (Michigan)	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. Dylan Douglas Fortman allows following entities to bill medicare on his behalf.

Entity Name	University Of Pittsburgh Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619935004 PECOS PAC ID: 8729990239 Enrollment ID: O20040308000883

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. Dylan Douglas Fortman 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
Dylan Douglas Fortman, MD 1500 E. Medical Center Drive, Ann Arbor, MI 48109-5848 Ph: () -	Dylan Douglas Fortman, MD 1500 E. Medical Center Drive, Ann Arbor, MI 48109-5848 Ph: (734) 647-8902

Reviews and Comments

Internal Medicine Doctors in Ann Arbor, MI

Nabil Alkhoury Fallouh, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1500 East Medical Center Dr, 3rd Floor Taubman Ctr Recp B, Ann Arbor, MI 48109 Phone: 734-936-5582
Sameer Dev Saini, M.D. Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000
Dr. David Alexander Stewart, M.D. Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 1500 E Medical Center Dr, 12th Floor C.s. Mott Children's Hospital Room 525, Ann Arbor, MI 48109 Phone: 734-763-5302 Fax: 734-647-5624
Dr. Aiman M Mahmood, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1500 E Medical Center Dr, Med Inn C728, Ann Arbor, MI 48109 Phone: 734-998-0891
Anastasia Irene Wasylyshyn, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000
Katherine Saber Salisbury, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 4260 Plymouth Rd, Ann Arbor, MI 48109 Phone: 734-764-6831
Anne Lewis Carlton, Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-647-5900

Dylan Douglas Fortman, MD - Medicare Internal Medicine in Ann Arbor, MI