Michael Fossel, MD is a
Emergency Medicine physician based in Ada, Michigan. Michael Fossel is licensed to practice in Michigan (license number 4301046371) and his current practice location is 9464 Conservation St Ne, Ada, Michigan. He can be reached at his office (for appointments etc.) via phone at
(616) 676-8779.
NPI number for Michael Fossel is 1205822756 and his current mailing address is 9464 Conservation St Ne, Ada, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1205822756.
Physician's Profile
Full Name | Michael Fossel |
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Gender | Male |
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Speciality | Emergency Medicine |
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Location | 9464 Conservation St Ne, Ada, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1205822756
- Provider Enumeration Date: 09/21/2005
- Last Update Date: 05/09/2012
Medical Identifiers
Medical identifiers for Michael Fossel such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205822756 | NPI | - | NPPES |
1658868 | Medicaid | MI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 4301046371 (Michigan) | 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 Fossel is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Michael Fossel, MD 9464 Conservation St Ne, Ada, MI 49301-9752 Ph: (616) 676-8779 | Michael Fossel, MD 9464 Conservation St Ne, Ada, MI 49301-9752 Ph: (616) 676-8779 |
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