Edward R Fog, DO in Atlantic City, NJ - Medicare Emergency Medicine

Edward R Fog, DO is a medicare enrolled "Emergency Medicine" physician in Atlantic City, New Jersey. He went to Rowan University School Of Osteopathic Medicine and graduated in 1998 and has 26 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Atlanticare Physician Group Pa and his current practice location is 1925 Pacific Ave, Atlantic City, New Jersey. You can reach out to his office (for appointments etc.) via phone at (609) 441-8127.

Edward R Fog is licensed to practice in New Jersey (license number MB71314) 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 1699707232.

Contact Information

	Edward R Fog, DO
	1925 Pacific Ave, Atlantic City, NJ 08401-6713
	(609) 441-8127
	Not Available

Map and Direction

Physician's Profile

Full Name	Edward R Fog
Gender	Male
Speciality	Emergency Medicine
Experience	26 Years
Location	1925 Pacific Ave, Atlantic City, New Jersey
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Edward R Fog attended and graduated from Rowan University School Of Osteopathic Medicine in 1998

NPI Data:

NPI Number: 1699707232
Provider Enumeration Date: 07/06/2006
Last Update Date: 12/21/2007

Medicare PECOS Information:

PECOS PAC ID: 2668438458
Enrollment ID: I20041203000255

Medical Identifiers

Medical identifiers for Edward R Fog such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699707232	NPI	-	NPPES
2090379000	Other	NJ	AMERIHEALTH
8837708	Medicaid	NJ
60018857	Other	NJ	HORIZON NJ HEALTH
30028085	Other	NJ	KEYSTONE MERCY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	MB71314 (New Jersey)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Atlanticare Physician Group Pa	8527953660	505

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. Edward R Fog allows following entities to bill medicare on his behalf.

Entity Name	Atlanticare Physician Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093829608 PECOS PAC ID: 8527953660 Enrollment ID: O20040218000405

Entity Name	Atlanticare Urgent Care Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083991616 PECOS PAC ID: 3971770959 Enrollment ID: O20120113000486

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. Edward R Fog 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
Edward R Fog, DO 307 S Evergreen Ave, Woodbury, NJ 08096-2739 Ph: (856) 686-4300	Edward R Fog, DO 1925 Pacific Ave, Atlantic City, NJ 08401-6713 Ph: (609) 441-8127

Reviews and Comments

Emergency Medicine Doctors in Atlantic City, NJ

Manisha Khatiwala, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1925 Pacific Ave, Atlantic City, NJ 08401 Phone: 609-345-4000
Marie Farnsworth, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1925 Pacific Ave, Atlantic City, NJ 08401 Phone: 609-345-4000
Irineo Bustamante Jr., MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1925 Pacific Ave, Atlantic City, NJ 08401 Phone: 609-345-4000
Dr. Michael Steven Westrol, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1925 Pacific Ave, 8th Floor, Atlantic City, NJ 08401 Phone: 609-441-8127
Nancy Hawkins, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1925 Pacific Ave, Atlantic City, NJ 08401 Phone: 609-345-4000
Dr. John Daniel Keogh, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1925 Pacific Ave, Atlantic City, NJ 08401 Phone: 609-441-8127
Thomas Brabson, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1925 Pacific Ave, Atlantic City, NJ 08401 Phone: 609-345-4000

Edward R Fog, DO - Medicare Emergency Medicine in Atlantic City, NJ