Paul Faybusovich, DO is a medicare enrolled "Allergy & Immunology" physician in Saint Cloud, Minnesota. He went to New York College Of Osteo Medicine Of New York Institute Of Technology and graduated in 2016 and has 8 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Centracare Clinic and his current practice location is
1900 Centracare Cir Ste 1325, Saint Cloud, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(320) 654-3650.
Paul Faybusovich is licensed to practice in Pennsylvania (license number OT019251) 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 1497109219.
Physician's Profile
| Full Name | Paul Faybusovich |
|---|
| Gender | Male |
|---|
| Speciality | Internal Medicine |
|---|
| Experience | 8 Years |
|---|
| Location | 1900 Centracare Cir Ste 1325, Saint Cloud, Minnesota |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Paul Faybusovich attended and graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 2016
NPI Data:
- NPI Number: 1497109219
- Provider Enumeration Date: 04/18/2016
- Last Update Date: 04/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 8820325491
- Enrollment ID: I20220310001496
Medical Identifiers
Medical identifiers for Paul Faybusovich such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497109219 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207K00000X | Allergy & Immunology | OT019251 (Pennsylvania) | Primary |
| 207R00000X | Internal Medicine | OS020058 (Pennsylvania) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Centracare Clinic | 2466363395 | 632 |
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. Paul Faybusovich allows following entities to bill medicare on his behalf.
| Entity Name | Centracare Clinic |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1043212665
PECOS PAC ID: 2466363395
Enrollment ID: O20031105000293 |
|---|
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. Paul Faybusovich 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 |
|---|
Paul Faybusovich, DO
1900 Centracare Cir Ste 1325,
Saint Cloud, MN 56303-5000
Ph: (320) 654-3650 | Paul Faybusovich, DO
1900 Centracare Cir Ste 1325,
Saint Cloud, MN 56303-5000
Ph: (320) 654-3650 |
Reviews and Comments