Burt I Faibisoff, MD - Medicare Plastic And Reconstructive Surgery in Prescott, AZ

  1. Home
  2. Plastic Surgery
  3. AZ
  4. Prescott
Burt I Faibisoff, MD is a medicare enrolled "Plastic Surgery" physician in Prescott, Arizona. He went to University Of Rochester School Of Medicine And Dentistry and graduated in 1975 and has 49 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice Prescott Medical And Dermatology Group and his current practice location is 830 Ainsworth Dr, Prescott, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 777-5800.

Burt I Faibisoff is licensed to practice in Arizona (license number 13213) 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 1730128695.

Contact Information

Burt I Faibisoff, MD
830 Ainsworth Dr,
Prescott, AZ 86301-1630
(928) 777-5800
(928) 776-0405

Map and Direction




Physician's Profile

Full NameBurt I Faibisoff
GenderMale
SpecialityPlastic And Reconstructive Surgery
Experience49 Years
Location830 Ainsworth Dr, Prescott, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Burt I Faibisoff attended and graduated from University Of Rochester School Of Medicine And Dentistry in 1975
  NPI Data:
  • NPI Number: 1730128695
  • Provider Enumeration Date: 06/06/2006
  • Last Update Date: 03/08/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3274568290
  • Enrollment ID: I20050928001143

Medical Identifiers

Medical identifiers for Burt I Faibisoff such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730128695NPI-NPPES
226672MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2082S0105XPlastic Surgery - Surgery Of The Hand 13213 (Arizona)Secondary
208200000XPlastic Surgery 13213 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Yavapai Regional Medical CenterPrescott, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Prescott Medical And Dermatology Group46880572013

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. Burt I Faibisoff allows following entities to bill medicare on his behalf.
Entity NameBurt Faibisoff Md Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336396761
PECOS PAC ID: 0648255190
Enrollment ID: O20040621000457
Entity NameArizona Associates In Dermatology And Cosmetic Surgery, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659467397
PECOS PAC ID: 0840234902
Enrollment ID: O20050620000400
Entity NamePrescott Medical And Dermatology Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841929908
PECOS PAC ID: 4688057201
Enrollment ID: O20220815002698

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. Burt I Faibisoff 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 AddressPractice Location Address
Burt I Faibisoff, MD
801 York St,
Manitowoc, WI 54220-4630

Ph: (920) 663-9008		Burt I Faibisoff, MD
830 Ainsworth Dr,
Prescott, AZ 86301-1630

Ph: (928) 777-5800

Reviews and Comments


Plastic Surgery Doctors in Prescott, AZ


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.