Fazilath Fatima, MD in Fountain Valley, CA - Medicare Internal Medicine

Fazilath Fatima, MD is a medicare enrolled "Internal Medicine" physician in Fountain Valley, California. She graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Memorialcare Medical Foundation and her current practice location is 17360 Brookhurst St, Fountain Valley, California. You can reach out to her office (for appointments etc.) via phone at (657) 241-3592.

Fazilath Fatima is licensed to practice in California (license number C133691) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1962429571.

Contact Information

	Fazilath Fatima, MD
	17360 Brookhurst St, Fountain Valley, CA 92708-3720
	(657) 241-3592
	Not Available

Map and Direction

Physician's Profile

Full Name	Fazilath Fatima
Gender	Female
Speciality	Internal Medicine
Experience	24 Years
Location	17360 Brookhurst St, Fountain Valley, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Fazilath Fatima graduated from medical school in 2000

NPI Data:

NPI Number: 1962429571
Provider Enumeration Date: 07/17/2006
Last Update Date: 08/09/2016

Medicare PECOS Information:

PECOS PAC ID: 4981706074
Enrollment ID: I20150814012627

Medical Identifiers

Medical identifiers for Fazilath Fatima such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962429571	NPI	-	NPPES
5178262-10	Medicaid	MI
1962429571	Other	MI	NPI
70-0-F32947-0	Other	MI	BCBS CPIN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	4301079615 (Michigan)	Secondary
208M00000X	Hospitalist	4301079615 (Michigan)	Secondary
208M00000X	Hospitalist	35.097068 (Ohio)	Secondary
208M00000X	Hospitalist	C133691 (California)	Secondary
207R00000X	Internal Medicine	C133691 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Memorialcare Orange Coast Medical Center	Fountain valley, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Memorialcare Medical Foundation	8729277314	384

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. Fazilath Fatima allows following entities to bill medicare on her behalf.

Entity Name	Memorialcare Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205167350 PECOS PAC ID: 8729277314 Enrollment ID: O20110113000219

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. Fazilath Fatima 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
Fazilath Fatima, MD 17360 Brookhurst St, Attn: Credentialing Department, Fountain Valley, CA 92708-3720 Ph: () -	Fazilath Fatima, MD 17360 Brookhurst St, Fountain Valley, CA 92708-3720 Ph: (657) 241-3592

Reviews and Comments

Internal Medicine Doctors in Fountain Valley, CA

Dr. Kristine Suzanne Olson Arthur, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11420 Warner Ave, Fountain Valley, CA 92708 Phone: 714-549-1300 Fax: 714-433-3100
Dr. Sajeet Singh Sawhney, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11100 Warner Ave, Suite 218, Fountain Valley, CA 92708 Phone: 714-641-9696 Fax: 714-641-9696
Dr. Jennifer L Wong, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 18111 Brookhurst St Ste 5100, Fountain Valley, CA 92708 Phone: 714-546-2238 Fax: 714-434-8145
Dr. Sithu Lin, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 11100 Warner Ave Ste 218, Fountain Valley, CA 92708 Phone: 714-641-9696
Kien-an Duong, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11420 Warner Ave, Fountain Valley, CA 92708 Phone: 714-549-1300 Fax: 714-433-3100
Mr. Satinder Swaroop, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11180 Warner Ave, Suite #353, Fountain Valley, CA 92708 Phone: 714-751-3540 Fax: 714-751-5626
Yu-ming Ni, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 18111 Brookhurst St Ste 5100, Fountain Valley, CA 92708 Phone: 714-546-2238

Fazilath Fatima, MD - Medicare Internal Medicine in Fountain Valley, CA