Michael Fattouh, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Bronx, New York. His current practice location is
111 E 210th St, Bronx, New York. You can reach out to his office (for appointments etc.) via phone at
(718) 920-2057.
Michael Fattouh is licensed to practice in New York (license number ) 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 1285139089.
Physician's Profile
Full Name | Michael Fattouh |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 111 E 210th St, Bronx, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1285139089
- Provider Enumeration Date: 03/26/2018
- Last Update Date: 06/25/2021
Medicare PECOS Information:
- PECOS PAC ID: 3375892649
- Enrollment ID: I20180820001845
Medical Identifiers
Medical identifiers for Michael Fattouh such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285139089 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 275907 (Massachusetts) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (New York) | Primary |
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. Michael Fattouh 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 |
Michael Fattouh, MD 111 E 210th St, Bronx, NY 10467-2401 Ph: (718) 920-2057 | Michael Fattouh, MD 111 E 210th St, Bronx, NY 10467-2401 Ph: (718) 920-2057 |
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