James G Fordyce, MD is a medicare enrolled "Allergy & Immunology - Clinical & Laboratory Immunology" physician in Dearborn, Michigan. His current practice location is
19855 Outer Dr, Ste 204, Dearborn, Michigan. You can reach out to his office (for appointments etc.) via phone at
(313) 565-3565.
James G Fordyce is licensed to practice in Michigan (license number 4301034472) 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 1215905765.
Physician's Profile
| Full Name | James G Fordyce |
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| Gender | Male |
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| Speciality | Allergy & Immunology - Clinical & Laboratory Immunology |
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| Location | 19855 Outer Dr, Dearborn, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1215905765
- Provider Enumeration Date: 03/10/2006
- Last Update Date: 06/22/2015
Medicare PECOS Information:
- PECOS PAC ID: 1557275880
- Enrollment ID: I20110124000708
Medical Identifiers
Medical identifiers for James G Fordyce such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215905765 | NPI | - | NPPES |
| 0H26340 | Other | MI | BLUE CROSS |
| 1290003 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207KI0005X | Allergy & Immunology - Clinical & Laboratory Immunology | 4301034472 (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. James G Fordyce allows following entities to bill medicare on his behalf.
| Entity Name | Dearborn Allergy & Asthma Clinic Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477545200
PECOS PAC ID: 9830187210
Enrollment ID: O20040504001060 |
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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. James G Fordyce 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 |
|---|
James G Fordyce, MD
19855 Outer Dr, Ste 204,
Dearborn, MI 48124-2022
Ph: (313) 565-3565 | James G Fordyce, MD
19855 Outer Dr, Ste 204,
Dearborn, MI 48124-2022
Ph: (313) 565-3565 |
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