Kelly Bossenbroek Fedoriw, MD in Chapel Hill, NC

Kelly Bossenbroek Fedoriw, MD is a medicare enrolled "Family Medicine" physician in Chapel Hill, North Carolina. She went to Medical College Of Ohio and graduated in 2003 and has 21 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Unc Physicians And Associates and her current practice location is 590 Manning Dr, Chapel Hill, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 966-0210.

Kelly Bossenbroek Fedoriw is licensed to practice in North Carolina (license number 2008-01856) 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 1285674606.

Contact Information

	Kelly Bossenbroek Fedoriw, MD
	590 Manning Dr, Chapel Hill, NC 27599-6119
	(919) 966-0210
	(919) 966-2126

Map and Direction

Physician's Profile

Full Name	Kelly Bossenbroek Fedoriw
Gender	Female
Speciality	Family Practice
Experience	21 Years
Location	590 Manning Dr, Chapel Hill, North Carolina
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:

Kelly Bossenbroek Fedoriw attended and graduated from Medical College Of Ohio in 2003

NPI Data:

NPI Number: 1285674606
Provider Enumeration Date: 06/07/2006
Last Update Date: 03/31/2021

Medicare PECOS Information:

PECOS PAC ID: 8820091549
Enrollment ID: I20090129000668

Medical Identifiers

Medical identifiers for Kelly Bossenbroek Fedoriw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285674606	NPI	-	NPPES
004236346	Medicaid	CT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	2008-01856 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of North Carolina Hospital	Chapel hill, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Unc Physicians And Associates	0648181156	1736

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. Kelly Bossenbroek Fedoriw allows following entities to bill medicare on her behalf.

Entity Name	University Of North Carolina At Chapel Hill
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780669200 PECOS PAC ID: 0648181156 Enrollment ID: O20031105000359

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. Kelly Bossenbroek Fedoriw 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
Kelly Bossenbroek Fedoriw, MD 590 Manning Dr, Chapel Hill, NC 27599-6119 Ph: (919) 966-0210	Kelly Bossenbroek Fedoriw, MD 590 Manning Dr, Chapel Hill, NC 27599-6119 Ph: (919) 966-0210

Reviews and Comments

Family Medicine Doctors in Chapel Hill, NC

Dr. Stephen H Gamboa, M.D., M.P.H. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Unc Dept Of Family Medicine, 590 Manning Dr, Cb #7595, Chapel Hill, NC 27599 Phone: 919-966-2236 Fax: 919-966-6125
Dr. Gregory Howard Tuttle, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: James A Taylor Campus Health Servive, The University Of North Carolina, Cb#7470, Chapel Hill, NC 27599 Phone: 919-966-6551 Fax: 919-966-0108
Dr. Katrina E Donahue, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Manning Dr, Chapel Hill, NC 27599 Phone: 919-966-4996 Fax: 919-843-5515
Mr. Andrew Carl Babcock, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 590 Manning Dr, Cb 7586, Chapel Hill, NC 27599 Phone: 919-966-0210 Fax: 919-966-6126
Dr. Allen J Daugird, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 101 Manning Dr, Chapel Hill, NC 27599 Phone: 919-966-4996 Fax: 919-843-5515
John W Mcmenemy, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 77 Vilcom Center Dr Ste 200, Chapel Hill, NC 27514 Phone: 919-521-8159 Fax: 919-933-3816
Dr. Susan F Slatkoff, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Manning Dr, Chapel Hill, NC 27599 Phone: 919-966-4131

Kelly Bossenbroek Fedoriw, MD - Medicare Family Practice in Chapel Hill, NC