Dr Dimitry A Fomin, MD - Medicare Neurology 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 32 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 NameDr Dimitry A Fomin
GenderMale
SpecialityNeurology
Experience32 Years
Location2708 Rife Medical Ln, Rogers, Arkansas
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 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.
IdentifierTypeStateIssuer
1831171263NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084N0400XPsychiatry & Neurology - Neurology E5557 (Arkansas)Secondary
207RS0012XInternal Medicine - Sleep Medicine E5557 (Arkansas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy Hospital Northwest ArkansasRogers, ARHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mercy Health Northwest Arkansas Communities0648177873265

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 NameMercy Health Northwest Arkansas Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265490916
PECOS PAC ID: 0648177873
Enrollment ID: O20031216000788

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 AddressPractice 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

Dr. Anthony Dolomisiewicz, MD
Internal Medicine
Medicare: Medicare Enrolled
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: Accepting Medicare Assignments
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: Medicare Enrolled
Practice Location: 1002 S 52nd St, Rogers, AR 72758
Phone: 479-338-3750    Fax: 479-338-3799
Kevin Bradley Meredith,
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2708 S Rife Medical Ln Ste 200, Rogers, AR 72758
Phone: 479-338-3080    Fax: 479-338-3089

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.