Mr Terry Wayne Fonville, MD - Medicare Internal Medicine in New York, NY

Mr Terry Wayne Fonville, MD is a medicare enrolled "Internal Medicine" physician in New York, New York. He went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 1969 and has 55 years of diverse experience with area of expertise as Internal Medicine. His current practice location is 99 University Pl, Suite 201, New York, New York. You can reach out to his office (for appointments etc.) via phone at (212) 222-7516.

Mr Terry Wayne Fonville is licensed to practice in New York (license number 107804) 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 1154488831.

Contact Information

Mr Terry Wayne Fonville, MD
99 University Pl, Suite 201,
New York, NY 10003-4528
(212) 222-7516
(212) 529-6222

Map and Direction




Physician's Profile

Full NameMr Terry Wayne Fonville
GenderMale
SpecialityInternal Medicine
Experience55 Years
Location99 University Pl, New York, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Terry Wayne Fonville attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 1969
  NPI Data:
  • NPI Number: 1154488831
  • Provider Enumeration Date: 01/02/2007
  • Last Update Date: 07/31/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 3375584626
  • Enrollment ID: I20050517000624

Medical Identifiers

Medical identifiers for Mr Terry Wayne Fonville such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154488831NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 107804 (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. Mr Terry Wayne Fonville 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 AddressPractice Location Address
Mr Terry Wayne Fonville, MD
99 University Pl, Suite 201,
New York, NY 10003-4575

Ph: (212) 222-7516
Mr Terry Wayne Fonville, MD
99 University Pl, Suite 201,
New York, NY 10003-4528

Ph: (212) 222-7516

Reviews and Comments


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