Dr Dimitry A Fomin, MD in Rogers, AR

Dr Dimitry A Fomin, MD is a medicare enrolled "Internal Medicine - Sleep Medicine" physician in Rogers, Arkansas. He went to Uniformed Services Uhs Fe Hebert School Of Med and graduated in 1992 and has 33 years of diverse experience with area of expertise as Neurology. He is a member of the group practice Mercy Health Northwest Arkansas Communities and his current practice location is 2708 Rife Medical Ln, Suite 200, Rogers, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 338-3720.

Dr Dimitry A Fomin is licensed to practice in Arkansas (license number E5557) 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 1831171263.

Contact Information

	Dr Dimitry A Fomin, MD
	2708 Rife Medical Ln, Suite 200, Rogers, AR 72758-1452
	(479) 338-3720
	(479) 338-3749

Map and Direction

Physician's Profile

Full Name	Dr Dimitry A Fomin
Gender	Male
Speciality	Neurology
Experience	33 Years
Location	2708 Rife Medical Ln, Rogers, Arkansas
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 Dimitry A Fomin attended and graduated from Uniformed Services Uhs Fe Hebert School Of Med in 1992

NPI Data:

NPI Number: 1831171263
Provider Enumeration Date: 11/21/2005
Last Update Date: 10/31/2013

Medicare PECOS Information:

PECOS PAC ID: 5496820268
Enrollment ID: I20100810001011

Medical Identifiers

Medical identifiers for Dr Dimitry A Fomin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831171263	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084N0400X	Psychiatry & Neurology - Neurology	E5557 (Arkansas)	Secondary
207RS0012X	Internal Medicine - Sleep Medicine	E5557 (Arkansas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercy Hospital Northwest Arkansas	Rogers, AR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mercy Health Northwest Arkansas Communities	0648177873	296

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 Dimitry A Fomin allows following entities to bill medicare on his behalf.

Entity Name	Mercy Health Northwest Arkansas Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265490916 PECOS PAC ID: 0648177873 Enrollment ID: O20031216000788

Entity Name	Mercy Hospital Berryville
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457306326 PECOS PAC ID: 9032022769 Enrollment ID: O20040505000763

Entity Name	Mercy Hospital Berryville
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1457306326 PECOS PAC ID: 9032022769 Enrollment ID: O20061104000216

Entity Name	Mercy Health Northwest Arkansas Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699076737 PECOS PAC ID: 0648177873 Enrollment ID: O20110330000454

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 Dimitry A 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
Dr Dimitry A Fomin, MD 2708 Rife Medical Ln, Suite 200, Rogers, AR 72758-1452 Ph: (479) 338-3720	Dr Dimitry A Fomin, MD 2708 Rife Medical Ln, Suite 200, Rogers, AR 72758-1452 Ph: (479) 338-3720

Reviews and Comments

Internal Medicine Doctors in Rogers, AR

Adam Angel, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1002 S 52nd St, Rogers, AR 72758 Phone: 479-338-3750 Fax: 479-338-3799
Dr. Anthony Dolomisiewicz, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1002 S 52nd St, Rogers, AR 72758 Phone: 479-338-3722 Fax: 479-338-3724
William G Swindell, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1002 S 52nd Street, Rogers, AR 72758 Phone: 479-338-3750 Fax: 479-338-3799
Dr. Daniel S Bradford, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 808 S 52nd St, Rogers, AR 72758 Phone: 479-936-9900 Fax: 479-587-1366
Dr. Walton Cheng Toy, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1002 S 52nd Street, Rogers, AR 72758 Phone: 479-338-3720 Fax: 479-338-3749
Dr. Ruben Tejada, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5212 Village Pkwy, Suite 9, Rogers, AR 72758 Phone: 479-876-8460 Fax: 479-876-8470
Dr. James Parks Tullis, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1002 S 52nd St, Rogers, AR 72758 Phone: 479-338-3750 Fax: 479-338-3799

Dr Dimitry A Fomin, MD - Medicare Neurology in Rogers, AR