Dr Charles Timothy Fasanya, MD in Middletown, NY

Dr Charles Timothy Fasanya, MD is a medicare enrolled "Surgery - Surgical Critical Care" physician in Middletown, New York. He graduated from medical school in 1992 and has 33 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Samaritan Emergency Medical Services Pc and his current practice location is 707 E Main St, Middletown, New York. You can reach out to his office (for appointments etc.) via phone at (845) 333-7575.

Dr Charles Timothy Fasanya is licensed to practice in New York (license number 254698) 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 1710149356.

Contact Information

	Dr Charles Timothy Fasanya, MD
	707 E Main St, Middletown, NY 10940-2650
	(845) 333-7575
	(845) 333-1454

Map and Direction

Physician's Profile

Full Name	Dr Charles Timothy Fasanya
Gender	Male
Speciality	General Surgery
Experience	33 Years
Location	707 E Main St, Middletown, New York
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:

Dr Charles Timothy Fasanya graduated from medical school in 1992

NPI Data:

NPI Number: 1710149356
Provider Enumeration Date: 06/25/2008
Last Update Date: 04/02/2018

Medicare PECOS Information:

PECOS PAC ID: 8729143698
Enrollment ID: I20091022000182

Medical Identifiers

Medical identifiers for Dr Charles Timothy Fasanya such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710149356	NPI	-	NPPES
254698	Other	NY	NEW YORK STATE LICENSE
25MA08347800	Other	NJ	MEDICAL LICENSE
0181781	Medicaid	NJ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	25MA08347800 (New Jersey)	Secondary
2086S0102X	Surgery - Surgical Critical Care	254698 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Good Samaritan Hospital Medical Center	West islip, NY	Hospital
Chsli St Joseph Hospital	Bethpage, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Samaritan Emergency Medical Services Pc	7012016660	19

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. Dr Charles Timothy Fasanya allows following entities to bill medicare on his behalf.

Entity Name	Chs Physician Partners Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124497771 PECOS PAC ID: 7618955667 Enrollment ID: O20040708000027

Entity Name	Samaritan Emergency Medical Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104978014 PECOS PAC ID: 7012016660 Enrollment ID: O20070621000503

Entity Name	Westchester Medical Center Advanced Physician Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912131392 PECOS PAC ID: 3173660776 Enrollment ID: O20091031000042

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. Dr Charles Timothy Fasanya 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
Dr Charles Timothy Fasanya, MD 707 E Main St, Middletown, NY 10940-2650 Ph: (845) 333-1114	Dr Charles Timothy Fasanya, MD 707 E Main St, Middletown, NY 10940-2650 Ph: (845) 333-7575

Reviews and Comments

Surgery Doctors in Middletown, NY

Krassimir Atanassov, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 707 E Main St, Middletown, NY 10940 Phone: 845-333-7575 Fax: 845-333-1343
Sandeep Malhotra, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 95 Crystal Run Rd, Middletown, NY 10941 Phone: 845-703-6999 Fax: 845-703-6297
Dr. Lauren Audrey Licata, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 707 E Main St, Middletown, NY 10940 Phone: 845-333-7575
Howard Karpoff, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 95 Crystal Run Rd, Middletown, NY 10941 Phone: 845-703-6999 Fax: 845-703-6297
Dr. Elizabeth Christine Kao, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 707 E Main St, Middletown, NY 10940 Phone: 845-333-7575
Justin Stufflebeam, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 707 E Main St, Middletown, NY 10940 Phone: 845-333-6333 Fax: 845-333-7342
Carlito Morilla, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 236 Crystal Run Rd, Middletown, NY 10941 Phone: 845-692-3111 Fax: 845-692-0125

Dr Charles Timothy Fasanya, MD - Medicare General Surgery in Middletown, NY