Dr Albert Fombu, MD - Medicare Psychiatry in Ephrata, PA

Dr Albert Fombu, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Ephrata, Pennsylvania. He graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Philhaven, Wellspan Medical Group and his current practice location is 169 Martin Ave, Ephrata, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (717) 733-0311.

Dr Albert Fombu is licensed to practice in Pennsylvania (license number MD454252) 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 1417229535.

Contact Information

Dr Albert Fombu, MD
169 Martin Ave,
Ephrata, PA 17522-1724
(717) 733-0311
(717) 738-6735

Map and Direction




Physician's Profile

Full NameDr Albert Fombu
GenderMale
SpecialityPsychiatry
Experience28 Years
Location169 Martin Ave, Ephrata, Pennsylvania
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:
  • Dr Albert Fombu graduated from medical school in 1996
  NPI Data:
  • NPI Number: 1417229535
  • Provider Enumeration Date: 02/05/2012
  • Last Update Date: 01/31/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9335454180
  • Enrollment ID: I20150824000241

Medical Identifiers

Medical identifiers for Dr Albert Fombu such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417229535NPI-NPPES
103067285MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry MD454252 (Pennsylvania)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Philhaven872999141959
Wellspan Medical Group19512131151946

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 Albert Fombu allows following entities to bill medicare on his behalf.
Entity NamePhilhaven
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043316441
PECOS PAC ID: 8729991419
Enrollment ID: O20031110000103
Entity NameWellspan Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750480299
PECOS PAC ID: 1951213115
Enrollment ID: O20040220000815

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 Albert Fombu 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
Dr Albert Fombu, MD
283 Butler Rd,
Mount Gretna, PA 17064-6085

Ph: (717) 673-2417
Dr Albert Fombu, MD
169 Martin Ave,
Ephrata, PA 17522-1724

Ph: (717) 733-0311

Reviews and Comments


Psychiatry & Neurology Doctors in Ephrata, PA

Dr. Shirani David Rajan, MD MSPH
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 207 W Fulton St, Ephrata, PA 17522
Phone: 717-721-8789    Fax: 717-715-1360
John Shand, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 169 Martin Ave, Ephrata, PA 17522
Phone: 717-733-0311    
Dr. Rizalino S Cruz, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 169 Martin Ave, Ephrata, PA 17522
Phone: 717-738-6400    Fax: 717-738-6735
Bandhu Paudyal, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 207 W Fulton St, Ephrata, PA 17522
Phone: 717-721-8789    Fax: 717-715-1360
Andrew Stein, M.D.
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 207 W Fulton St, Ephrata, PA 17522
Phone: 717-721-8789    Fax: 717-715-1360
Dr. Justin R Fisher, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 207 W Fulton St, Ephrata, PA 17522
Phone: 717-721-8789    Fax: 717-715-1360

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.