Alexey Fomin, MD, PHD in Hattiesburg, MS

Alexey Fomin, MD, PHD is a medicare enrolled "Internal Medicine" physician in Hattiesburg, Mississippi. He graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Rheumatology. He is a member of the group practice Hattiesburg Clinic, Pa and his current practice location is 104 Millsaps Dr, Hattiesburg, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 288-7500.

Alexey Fomin is licensed to practice in Mississippi (license number 24153) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1700211141.

Contact Information

	Alexey Fomin, MD, PHD
	104 Millsaps Dr, Hattiesburg, MS 39402-1328
	(601) 288-7500
	(601) 268-5179

Map and Direction

Physician's Profile

Full Name	Alexey Fomin
Gender	Male
Speciality	Rheumatology
Experience	19 Years
Location	104 Millsaps Dr, Hattiesburg, Mississippi
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Alexey Fomin graduated from medical school in 2005

NPI Data:

NPI Number: 1700211141
Provider Enumeration Date: 09/04/2013
Last Update Date: 07/09/2020

Medicare PECOS Information:

PECOS PAC ID: 4385941459
Enrollment ID: I20160405001174

Medical Identifiers

Medical identifiers for Alexey Fomin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700211141	NPI	-	NPPES
04537068	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	47117 (Kentucky)	Secondary
207R00000X	Internal Medicine	24153 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Forrest General Hospital	Hattiesburg, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hattiesburg Clinic, Pa	5193706794	489

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. Alexey Fomin allows following entities to bill medicare on his behalf.

Entity Name	Hattiesburg Clinic Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740213446 PECOS PAC ID: 5193706794 Enrollment ID: O20040528000685

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. Alexey Fomin 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
Alexey Fomin, MD, PHD 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 288-7500	Alexey Fomin, MD, PHD 104 Millsaps Dr, Hattiesburg, MS 39402-1328 Ph: (601) 288-7500

Reviews and Comments

Internal Medicine Doctors in Hattiesburg, MS

Laurie Evans Douglas, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-1700 Fax: 601-288-8290
Dr. Charles Ramsey Mccollum Iii, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-268-5650 Fax: 601-579-5212
Porter Hudson Glover, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-268-5680 Fax: 601-268-5778
Alex Gauthier, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5001 Hardy St, Hattiesburg, MS 39402 Phone: 601-268-8000
Grettel Rodriguez Garcia, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 31 Woodstone Dr, Hattiesburg, MS 39402 Phone: 347-342-2441
Ms. Manal Mohammad Abdur Rahman, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7 Medical Blvd, Hattiesburg, MS 39401 Phone: 601-296-2990 Fax: 601-296-2860
Dr. Vashishtha Patel, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 5001 Hardy St, Hattiesburg, MS 39402 Phone: 704-733-7499

Alexey Fomin, MD, PHD - Medicare Rheumatology in Hattiesburg, MS