Geoffrey C Fenner, MD is a medicare enrolled "Plastic Surgery" physician in Kenilworth, Illinois. He went to Indiana University School Of Medicine and graduated in 1988 and has 36 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. His current practice location is
512 Green Bay Road, Kenilworth, Illinois. You can reach out to his office (for appointments etc.) via phone at
(847) 716-2400.
Geoffrey C Fenner is licensed to practice in Illinois (license number 036081864) 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 1629176003.
Physician's Profile
Full Name | Geoffrey C Fenner |
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Gender | Male |
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Speciality | Plastic And Reconstructive Surgery |
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Experience | 36 Years |
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Location | 512 Green Bay Road, Kenilworth, Illinois |
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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:
- Geoffrey C Fenner attended and graduated from Indiana University School Of Medicine in 1988
NPI Data:
- NPI Number: 1629176003
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 10/29/2020
Medicare PECOS Information:
- PECOS PAC ID: 9739111337
- Enrollment ID: I20050902000668
Medical Identifiers
Medical identifiers for Geoffrey C Fenner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629176003 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208200000X | Plastic Surgery | 036081864 (Illinois) | Primary |
Medical Facilities Affiliation
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. Geoffrey C Fenner allows following entities to bill medicare on his behalf.
Entity Name | Fenner Plastic Surgery, Ltd. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1316194285 PECOS PAC ID: 7517026594 Enrollment ID: O20081105000533 |
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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. Geoffrey C Fenner 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 |
Geoffrey C Fenner, MD 512 Green Bay Road, Kenilworth, IL 60043 Ph: (847) 716-2400 | Geoffrey C Fenner, MD 512 Green Bay Road, Kenilworth, IL 60043 Ph: (847) 716-2400 |
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