Dr Peter Alexander Fedyshin, MD is a medicare enrolled "Emergency Medicine" physician in Arnoldsville, Georgia. His current practice location is
85 Timberland Trl, Arnoldsville, Georgia. You can reach out to his office (for appointments etc.) via phone at
(412) 330-7206.
Dr Peter Alexander Fedyshin is licensed to practice in Georgia (license number 96436) 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 1174151591.
Physician's Profile
| Full Name | Dr Peter Alexander Fedyshin |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 85 Timberland Trl, Arnoldsville, Georgia |
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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: 1174151591
- Provider Enumeration Date: 03/31/2020
- Last Update Date: 07/31/2023
Medicare PECOS Information:
- PECOS PAC ID: 2264856848
- Enrollment ID: I20230831000199
Medical Identifiers
Medical identifiers for Dr Peter Alexander Fedyshin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1174151591 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | 96436 (Georgia) | 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 Peter Alexander Fedyshin allows following entities to bill medicare on his behalf.
| Entity Name | Athens Clarke Medical Enterprises Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295370542
PECOS PAC ID: 0547698680
Enrollment ID: O20200324000216 |
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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 Peter Alexander Fedyshin 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 |
|---|
Dr Peter Alexander Fedyshin, MD
85 Timberland Trl,
Arnoldsville, GA 30619-2216
Ph: (412) 330-7206 | Dr Peter Alexander Fedyshin, MD
85 Timberland Trl,
Arnoldsville, GA 30619-2216
Ph: (412) 330-7206 |
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