Dr Elliot Fagelman, MD is a medicare enrolled "Urology" physician in Pomona, New York. He graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Urology. He is a member of the group practice State Of New York Comptrollers Office and his current practice location is
11 Medical Park Dr, Suite 101, Pomona, New York. You can reach out to his office (for appointments etc.) via phone at
(845) 354-5800.
Dr Elliot Fagelman is licensed to practice in New York (license number 218046) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1184668808.
Physician's Profile
| Full Name | Dr Elliot Fagelman |
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| Gender | Male |
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| Speciality | Urology |
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| Experience | 29 Years |
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| Location | 11 Medical Park Dr, Pomona, New York |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Elliot Fagelman graduated from medical school in 1995
NPI Data:
- NPI Number: 1184668808
- Provider Enumeration Date: 06/15/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 5092783225
- Enrollment ID: I20040924000068
Medical Identifiers
Medical identifiers for Dr Elliot Fagelman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184668808 | NPI | - | NPPES |
| 02154667 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208800000X | Urology | 218046 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| State Of New York Comptrollers Office | 0840101770 | 98 |
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 Elliot Fagelman allows following entities to bill medicare on his behalf.
| Entity Name | State Of New York Comptrollers Office |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235142472
PECOS PAC ID: 0840101770
Enrollment ID: O20040313000077 |
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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 Elliot Fagelman 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 Elliot Fagelman, MD
11 Medical Park Dr, Suite 101,
Pomona, NY 10970-3559
Ph: (845) 354-5800 | Dr Elliot Fagelman, MD
11 Medical Park Dr, Suite 101,
Pomona, NY 10970-3559
Ph: (845) 354-5800 |
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