Dr Dominic Carl Fano, DO - Medicare Family Practice in Mount Clemens, MI

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Dr Dominic Carl Fano, DO is a medicare enrolled "Family Medicine" physician in Mount Clemens, Michigan. He went to Wayne State University School Of Medicine and graduated in 2008 and has 17 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Henry Ford Health System and his current practice location is 1000 Harrington Blvd., Mount Clemens, Michigan. You can reach out to his office (for appointments etc.) via phone at (586) 493-3727.

Dr Dominic Carl Fano is licensed to practice in Michigan (license number 5101020631) 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 1316387491.

Contact Information

Dr Dominic Carl Fano, DO
1000 Harrington Blvd.,
Mount Clemens, MI 48043-2920
(586) 493-3727
Not Available

Map and Direction




Physician's Profile

Full NameDr Dominic Carl Fano
GenderMale
SpecialityFamily Practice
Experience17 Years
Location1000 Harrington Blvd., Mount Clemens, Michigan
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 Dominic Carl Fano attended and graduated from Wayne State University School Of Medicine in 2008
  NPI Data:
  • NPI Number: 1316387491
  • Provider Enumeration Date: 07/03/2013
  • Last Update Date: 04/12/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6002135795
  • Enrollment ID: I20150724011687

Medical Identifiers

Medical identifiers for Dr Dominic Carl Fano such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316387491NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 5101020631 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Henry Ford HospitalDetroit, MIHospital
Henry Ford West Bloomfield HospitalWest bloomfield, MIHospital
Henry Ford Macomb HospitalClinton township, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Henry Ford Health System05471783112304

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 Dominic Carl Fano allows following entities to bill medicare on his behalf.
Entity NameHenry Ford Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134144801
PECOS PAC ID: 0547178311
Enrollment ID: O20031105000139
Entity NameRochester Urgent Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316018971
PECOS PAC ID: 2264334564
Enrollment ID: O20040127000012
Entity NameLakeside Urgent Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720159304
PECOS PAC ID: 0446146385
Enrollment ID: O20040226000404
Entity NameOxford Urgent Care Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700036936
PECOS PAC ID: 7214094291
Enrollment ID: O20090318000322

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 Dominic Carl Fano 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 Dominic Carl Fano, DO
1000 Harrington Blvd.,
Mount Clemens, MI 48043-2920

Ph: (586) 493-3727		Dr Dominic Carl Fano, DO
1000 Harrington Blvd.,
Mount Clemens, MI 48043-2920

Ph: (586) 493-3727

Reviews and Comments


Family Medicine Doctors in Mount Clemens, MI

Mrs. Donyelle Moore-baldwin, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 18 Market St Ste C, Mount Clemens, MI 48043
Phone: 586-783-2222    Fax: 583-783-6380
Dr. Joseph Thomas Naughton, D.O.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 18 Market St Ste C, Mount Clemens, MI 48043
Phone: 586-783-2222    
Dr. Giacomo Pierce Folden, D.O
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Harrington St, Mount Clemens, MI 48043
Phone: 586-493-8000    
Dr. William Matthew Jacobs, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Harrington St, Mount Clemens, MI 48043
Phone: 586-493-8000    
Dr. Angelica Radzioch, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Harrington St, Mount Clemens, MI 48043
Phone: 586-493-8000    
Veronica Takov, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Harrington St, Mount Clemens, MI 48043
Phone: 586-493-8195    

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.