Bradley D Fanestil, MD in Boulder, CO - Medicare Internal Medicine

Bradley D Fanestil, MD is a medicare enrolled "Internal Medicine" physician in Boulder, Colorado. He went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 1987 and has 38 years of diverse experience with area of expertise as Internal Medicine. His current practice location is 4801 Riverbend Rd Ste 120b, Boulder, Colorado. You can reach out to his office (for appointments etc.) via phone at (303) 415-8615.

Bradley D Fanestil is licensed to practice in Colorado (license number DR.0031874) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1023156254.

Contact Information

	Bradley D Fanestil, MD
	4801 Riverbend Rd Ste 120b, Boulder, CO 80301-2613
	(303) 415-8615
	(303) 293-0628

Map and Direction

Physician's Profile

Full Name	Bradley D Fanestil
Gender	Male
Speciality	Internal Medicine
Experience	38 Years
Location	4801 Riverbend Rd Ste 120b, Boulder, Colorado
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Bradley D Fanestil attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 1987

NPI Data:

NPI Number: 1023156254
Provider Enumeration Date: 02/01/2007
Last Update Date: 05/10/2019

Medicare PECOS Information:

PECOS PAC ID: 4789618950
Enrollment ID: I20050927000294

Medical Identifiers

Medical identifiers for Bradley D Fanestil such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023156254	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	DR.0031874 (Colorado)	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. Bradley D Fanestil allows following entities to bill medicare on his behalf.

Entity Name	Lin Health Medical Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013643436 PECOS PAC ID: 1557726932 Enrollment ID: O20230526001097

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. Bradley D Fanestil 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
Bradley D Fanestil, MD 5450 Western Ave, Boulder, CO 80301-2709 Ph: (303) 415-4250	Bradley D Fanestil, MD 4801 Riverbend Rd Ste 120b, Boulder, CO 80301-2613 Ph: (303) 415-8615

Reviews and Comments

Internal Medicine Doctors in Boulder, CO

Ms. Martha E Montour, RN Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 580 Mohawk Dr, Boulder, CO 80303 Phone: 303-440-2690
Chester J Dreiman, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2562 Briarwood Dr, Boulder, CO 80305 Phone: 303-501-2195
Pamela G Ingram, MSN Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 580 Mohawk Dr, Boulder, CO 80303 Phone: 303-554-5164
Dr. Joseph Randall Lutt, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2503 Walnut St Ste 200, Boulder, CO 80302 Phone: 720-494-4706 Fax: 720-494-4706
Dr. Amy O Campbell, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2880 Folsom St Ste 100, Boulder, CO 80304 Phone: 303-327-7047 Fax: 303-443-7168
Wael F. Garas, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5495 Arapahoe Ave Ste 100, Boulder, CO 80303 Phone: 303-415-4250 Fax: 303-440-9629

Bradley D Fanestil, MD - Medicare Internal Medicine in Boulder, CO