Mr Kevin Michael Fordell, PA is a medicare enrolled "Emergency Medicine" in Mesa, Arizona. His current practice location is
2550 N Thunderbird Cir Ste 303, Mesa, Arizona. You can reach out to his office (for appointments etc.) via phone at
(480) 924-8382.
Mr Kevin Michael Fordell is licensed to practice in Arizona (license number 4295) 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 1417107822.
Provider's Profile
| Full Name | Mr Kevin Michael Fordell |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 2550 N Thunderbird Cir Ste 303, Mesa, Arizona |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Kevin Michael Fordell attended and graduated from in
NPI Data:
- NPI Number: 1417107822
- Provider Enumeration Date: 09/22/2008
- Last Update Date: 03/01/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mr Kevin Michael Fordell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417107822 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 4295 (Arizona) | Secondary |
| 207P00000X | Emergency Medicine | 4295 (Arizona) | 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 Kevin Michael Fordell 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 |
|---|
Mr Kevin Michael Fordell, PA
645 E Missouri Ave Ste 300,
Phoenix, AZ 85012-1351
Ph: (602) 502-4621 | Mr Kevin Michael Fordell, PA
2550 N Thunderbird Cir Ste 303,
Mesa, AZ 85215-1219
Ph: (480) 924-8382 |
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