Dr Scott David Fedosky, MD is a medicare enrolled "General Practice" physician in Springdale, Arkansas. His current practice location is
5230 Willow Creek Dr Ste 201, Springdale, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(479) 927-3131.
Dr Scott David Fedosky is licensed to practice in Arkansas (license number E 0546) 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 1710993654.
Physician's Profile
Full Name | Dr Scott David Fedosky |
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Gender | Male |
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Speciality | General Practice |
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Location | 5230 Willow Creek Dr Ste 201, Springdale, Arkansas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1710993654
- Provider Enumeration Date: 07/31/2006
- Last Update Date: 07/13/2023
Medicare PECOS Information:
- PECOS PAC ID: 0749297570
- Enrollment ID: I20060320000255
Medical Identifiers
Medical identifiers for Dr Scott David Fedosky such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710993654 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | E 0546 (Arkansas) | 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 Scott David Fedosky allows following entities to bill medicare on his behalf.
Entity Name | Minimal Access Surgery Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1427151497 PECOS PAC ID: 1951295575 Enrollment ID: O20040212000668 |
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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 Scott David Fedosky 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 Scott David Fedosky, MD Po Box 6220, Springdale, AR 72766-6220 Ph: (479) 927-3100 | Dr Scott David Fedosky, MD 5230 Willow Creek Dr Ste 201, Springdale, AR 72762-0899 Ph: (479) 927-3131 |
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