Azingala Ajua Fondong, MD - Medicare Emergency Medicine in Tupelo, MS

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Azingala Ajua Fondong, MD is a medicare enrolled "Emergency Medicine" physician in Tupelo, Mississippi. His current practice location is 830 S Gloster St, Tupelo, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 260-6486.

Azingala Ajua Fondong is licensed to practice in Mississippi (license number 30382) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1154882702.

Contact Information

Azingala Ajua Fondong, MD
830 S Gloster St,
Tupelo, MS 38801-4934
(601) 260-6486
Not Available

Map and Direction




Physician's Profile

Full NameAzingala Ajua Fondong
GenderMale
SpecialityEmergency Medicine
Location830 S Gloster St, Tupelo, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154882702
  • Provider Enumeration Date: 03/27/2019
  • Last Update Date: 04/18/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9537545587
  • Enrollment ID: I20220929000505

Medical Identifiers

Medical identifiers for Azingala Ajua Fondong such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154882702NPI-NPPES
1154882702MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 30382 (Mississippi)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207P00000XEmergency Medicine 30382 (Mississippi)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. Azingala Ajua Fondong allows following entities to bill medicare on his behalf.
Entity NamePontotoc Health Services, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821103516
PECOS PAC ID: 6002895356
Enrollment ID: O20040719001336
Entity NameSoutheastern Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356379382
PECOS PAC ID: 2466364997
Enrollment ID: O20050407000866
Entity NameRelias Emergency Medicine Specialists Of Tupelo Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841664661
PECOS PAC ID: 6608179734
Enrollment ID: O20160125001174
Entity NameRelias Hospitalist Medicine Specialists Of Pontotoc Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972189330
PECOS PAC ID: 0143629592
Enrollment ID: O20210604001444

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. Azingala Ajua Fondong 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
Azingala Ajua Fondong, MD
3400 Mccullough Blvd Apt 712,
Belden, MS 38826-9466

Ph: () -		Azingala Ajua Fondong, MD
830 S Gloster St,
Tupelo, MS 38801-4934

Ph: (601) 260-6486

Reviews and Comments


Emergency Medicine Doctors in Tupelo, MS

Dr. Robert Carson Kirksey, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 830 S Gloster St, Tupelo, MS 38801
Phone: 866-754-3852    Fax: 205-313-5245
Donna B. Pritchard, NP
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 830 S. Gloster St., Tupelo, MS 38801
Phone: 800-893-9698    
William M Kirksey, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 830 S Gloster St, Tupelo, MS 38801
Phone: 866-754-3852    Fax: 205-313-5245
Dr. Buford L Lambert, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 5221b Cliff Gookin Blvd, Tupelo, MS 38801
Phone: 662-620-8123    Fax: 662-620-8131
Dr. Clarence A Justice, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 589 Garfield St, Suite 201, Tupelo, MS 38801
Phone: 662-680-5565    Fax: 662-680-5654
John A Cantrell, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 830 S Gloster St, Tupelo, MS 38801
Phone: 866-754-3852    Fax: 205-313-5245
Genti Tahiraj, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 830 S Gloster St, Tupelo, MS 38801
Phone: 615-477-8401    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.