Ahmad Fotovat, MD in Trumbull, CT

Ahmad Fotovat, MD is a medicare enrolled "Surgery" physician in Trumbull, Connecticut. His current practice location is 115 Technology Dr, C-100, Trumbull, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 268-5212.

Ahmad Fotovat is licensed to practice in Connecticut (license number 022045) 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 1740234178.

Contact Information

	Ahmad Fotovat, MD
	115 Technology Dr, C-100, Trumbull, CT 06611-1395
	(203) 268-5212
	(203) 268-6779

Map and Direction

Physician's Profile

Full Name	Ahmad Fotovat
Gender	Male
Speciality	Surgery
Location	115 Technology Dr, Trumbull, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740234178
Provider Enumeration Date: 05/20/2006
Last Update Date: 10/10/2007

Medicare PECOS Information:

PECOS PAC ID: 3971519398
Enrollment ID: I20060222000580

Medical Identifiers

Medical identifiers for Ahmad Fotovat such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740234178	NPI	-	NPPES
4395958	Other	CT	CIGNA
512H41	Other	CT	EMPIRE BC/BS
1176502	Other	CT	AETNA - HMO
2V5317	Other	CT	HEALTH NET
796029	Other	CT	CONNECTICARE
4662047	Other	CT	AETNA - PPO
010022045CT04	Other	CT	ANTHEM BC/BS
103685	Other	CT	BETTER HEALTH ADVANTAGE
ZS080	Other	CT	OXFORD HEALTH PLANS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	022045 (Connecticut)	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. Ahmad Fotovat allows following entities to bill medicare on his behalf.

Entity Name	St. Vincent's Multispecialty Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043544489 PECOS PAC ID: 6204977218 Enrollment ID: O20100112000538

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. Ahmad Fotovat 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
Ahmad Fotovat, MD 115 Technology Dr, C-100, Trumbull, CT 06611-6337 Ph: (203) 268-5212	Ahmad Fotovat, MD 115 Technology Dr, C-100, Trumbull, CT 06611-1395 Ph: (203) 268-5212

Reviews and Comments

Surgery Doctors in Trumbull, CT

Shareef Jandali, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5520 Park Ave, Suite Wp-2-300, Trumbull, CT 06611 Phone: 203-374-0310 Fax: 203-374-0314
Daniel J Passeri, MD Surgery Medicare: Medicare Enrolled Practice Location: 888 White Plains Rd, Suite 206, Trumbull, CT 06611 Phone: 203-459-8555 Fax: 203-459-2666
Timothy B Ehrlich Ii, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 115 Technology Drive, Suite C100, Trumbull, CT 06611 Phone: 203-899-0744 Fax: 203-268-6779
Melanie A Lynch, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5520 Park Ave Ste 1-500, Trumbull, CT 06611 Phone: 203-254-2381 Fax: 203-337-8788

Ahmad Fotovat, MD - Medicare Surgery in Trumbull, CT