Dr William Zachary Fenn, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Southborough, Massachusetts. He went to Temple University School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Reliant Medical Group Inc and his current practice location is
28 Newton St, Southborough, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(508) 486-4472.
Dr William Zachary Fenn is licensed to practice in Massachusetts (license number 2336) 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 1184897415.
Healthcare Provider's Profile
| Full Name | Dr William Zachary Fenn |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 19 Years |
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| Location | 28 Newton St, Southborough, Massachusetts |
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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:
- Dr William Zachary Fenn attended and graduated from Temple University School Of Medicine in 2005
NPI Data:
- NPI Number: 1184897415
- Provider Enumeration Date: 04/08/2008
- Last Update Date: 10/14/2021
Medicare PECOS Information:
- PECOS PAC ID: 4385703214
- Enrollment ID: I20081107000145
Medical Identifiers
Medical identifiers for Dr William Zachary Fenn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184897415 | NPI | - | NPPES |
| 110153403A | Medicaid | MA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213E00000X | Podiatrist | 0103301006 (Virginia) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 2336 (Massachusetts) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Reliant Medical Group Inc | 5597755322 | 546 |
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 William Zachary Fenn allows following entities to bill medicare on his behalf.
| Provider Name | Reliant Medical Group Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1720017528
PECOS PAC ID: 5597755322
Enrollment ID: O20040708000650 |
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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 William Zachary Fenn 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 William Zachary Fenn, DPM
28 Newton St,
Southborough, MA 01772-1215
Ph: (508) 486-4472 | Dr William Zachary Fenn, DPM
28 Newton St,
Southborough, MA 01772-1215
Ph: (508) 486-4472 |
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