Elton G Fennell, MD in Brockton, MA - Medicare Obstetrics & Gynecology

Elton G Fennell, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Brockton, Massachusetts. His current practice location is 680 Centre St, Brockton, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (508) 941-7000.

Elton G Fennell is licensed to practice in Massachusetts (license number 235209) 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 1497705891.

Contact Information

	Elton G Fennell, MD
	680 Centre St, Brockton, MA 02302-3308
	(508) 941-7000
	Not Available

Map and Direction

Physician's Profile

Full Name	Elton G Fennell
Gender	Male
Speciality	Obstetrics & Gynecology
Location	680 Centre St, Brockton, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497705891
Provider Enumeration Date: 05/10/2006
Last Update Date: 04/18/2024

Medicare PECOS Information:

PECOS PAC ID: 7012950926
Enrollment ID: I20050929000686

Medical Identifiers

Medical identifiers for Elton G Fennell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497705891	NPI	-	NPPES
2157934	Medicaid	MA
34312000	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	01074892A (Indiana)	Secondary
207V00000X	Obstetrics & Gynecology	01074892A (Indiana)	Secondary
207V00000X	Obstetrics & Gynecology	235209 (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. Elton G Fennell allows following entities to bill medicare on his behalf.

Entity Name	Prairie Du Chien Memorial Hospital Association, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619024197 PECOS PAC ID: 4981698537 Enrollment ID: O20040414001308

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. Elton G Fennell 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
Elton G Fennell, MD Po Box 3407, Evansville, IN 47733-3407 Ph: (812) 450-3363	Elton G Fennell, MD 680 Centre St, Brockton, MA 02302-3308 Ph: (508) 941-7000

Reviews and Comments

Obstetrics & Gynecology Doctors in Brockton, MA

Zwi Hoch, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1 Pearl St, Suite 2500, Brockton, MA 02301 Phone: 508-897-6111 Fax: 508-897-6115
Dr. Gregory Wei Chiang Woo, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 680 Centre St, Brockton, MA 02302 Phone: 508-941-7000 Fax: 508-941-6480
Brooke J Bloom, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 650 Centre St, Brockton, MA 02302 Phone: 508-697-8666
Juan P Richiusa, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 680 Centre St, Brockton, MA 02302 Phone: 508-941-7379 Fax: 508-941-6330
Dr. Shenbagavalli Ramaswami, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 830 Oak St, Brockton, MA 02301 Phone: 781-585-9522 Fax: 781-585-9544
Ana-cristina Vasilescu, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 235 N Pearl St, Brockton, MA 02301 Phone: 508-427-3000
Gautam B Parikh, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 830 Oak St, Suite 201w, Brockton, MA 02301 Phone: 508-897-4740 Fax: 508-897-4749

Elton G Fennell, MD - Medicare Obstetrics & Gynecology in Brockton, MA