Dr Henria M Fain, MD, DPT, ATC is a medicare enrolled "Internal Medicine" provider in Tampa, Florida. Her current practice location is
800 W. Martin Luther King Jr. Blvd, Suite 4, Tampa, Florida. You can reach out to her office (for appointments etc.) via phone at
(813) 743-4383.
Dr Henria M Fain is licensed to practice in Florida (license number ME133303) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1487836680.
Healthcare Provider's Profile
| Full Name | Dr Henria M Fain |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Location | 800 W. Martin Luther King Jr. Blvd, Tampa, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1487836680
- Provider Enumeration Date: 11/29/2007
- Last Update Date: 12/13/2023
Medicare PECOS Information:
- PECOS PAC ID: 3072813401
- Enrollment ID: I20220707000525
Medical Identifiers
Medical identifiers for Dr Henria M Fain such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1487836680 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 10700 (Wisconsin) | Secondary |
| 225100000X | Physical Therapist | 19365 (Florida) | Secondary |
| 207R00000X | Internal Medicine | ME133303 (Florida) | Primary |
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. Dr Henria M Fain allows following entities to bill medicare on her behalf.
| Provider Name | American Current Care Pa |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1770719296
PECOS PAC ID: 9739260019
Enrollment ID: O20090521000123 |
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| Provider Name | Integrated Wound Care Florida Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1699356964
PECOS PAC ID: 2163821828
Enrollment ID: O20210528001780 |
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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. Dr Henria M Fain 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 |
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Dr Henria M Fain, MD, DPT, ATC
Po Box 75496,
Tampa, FL 33675-0496
Ph: (813) 743-4383 | Dr Henria M Fain, MD, DPT, ATC
800 W. Martin Luther King Jr. Blvd, Suite 4,
Tampa, FL 33603
Ph: (813) 743-4383 |
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