Alec Fedorov, MD in Florence, OR - Medicare Orthopaedic Surgery

Alec Fedorov, MD is a medicare enrolled "Orthopaedic Surgery" physician in Florence, Oregon. His current practice location is 530 9th St, Florence, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 997-7104.

Alec Fedorov is licensed to practice in Oregon (license number MD22265) 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 1467401554.

Contact Information

	Alec Fedorov, MD
	530 9th St, Florence, OR 97439-7388
	(541) 997-7104
	(541) 997-5975

Map and Direction

Physician's Profile

Full Name	Alec Fedorov
Gender	Male
Speciality	Orthopaedic Surgery
Location	530 9th St, Florence, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467401554
Provider Enumeration Date: 05/08/2006
Last Update Date: 06/27/2025

Medicare PECOS Information:

PECOS PAC ID: 1153415153
Enrollment ID: I20070921000294

Medical Identifiers

Medical identifiers for Alec Fedorov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467401554	NPI	-	NPPES
288355	Medicaid	OR
MD22265	Other	OR	STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207X00000X	Orthopaedic Surgery	MD22265 (Oregon)	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. Alec Fedorov allows following entities to bill medicare on his behalf.

Entity Name	Peacehealth
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982774378 PECOS PAC ID: 4587573001 Enrollment ID: O20031215000598

Entity Name	Oregon Healthcare Resources Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982907572 PECOS PAC ID: 4486835477 Enrollment ID: O20110223001220

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. Alec Fedorov 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
Alec Fedorov, MD 530 9th St, Florence, OR 97439-7388 Ph: (541) 997-7104	Alec Fedorov, MD 530 9th St, Florence, OR 97439-7388 Ph: (541) 997-7104

Reviews and Comments

Orthopaedic Surgery Doctors in Florence, OR

Dr. Stephen Kent Riffenburgh, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 530 9th Street, Orthopedics, Florence, OR 97439 Phone: 541-997-7104 Fax: 541-997-5975
Wade Clark Van Sice, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 530 9th St, Florence, OR 97439 Phone: 541-997-7104 Fax: 541-997-5975
Dr. Bruce M. Watanabe, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 530 9th St, Florence, OR 97439 Phone: 541-997-7104 Fax: 541-997-5975
Andrew M. Boughal, D.O. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 530 9th St, Florence, OR 97439 Phone: 541-997-7104 Fax: 541-902-7533

Alec Fedorov, MD - Medicare Orthopaedic Surgery in Florence, OR