Dr Edward P Fody, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Holland, Michigan. His current practice location is
602 Michigan Ave, Holland, Michigan. You can reach out to his office (for appointments etc.) via phone at
(517) 403-0763.
Dr Edward P Fody is licensed to practice in Michigan (license number 4301084665) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1619950649.
Physician's Profile
Full Name | Dr Edward P Fody |
---|
Gender | Male |
---|
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
---|
Location | 602 Michigan Ave, Holland, Michigan |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1619950649
- Provider Enumeration Date: 11/23/2005
- Last Update Date: 01/23/2014
Medicare PECOS Information:
- PECOS PAC ID: 8123085628
- Enrollment ID: I20050202000138
Medical Identifiers
Medical identifiers for Dr Edward P Fody such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619950649 | NPI | - | NPPES |
4704015 | Medicaid | MI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 4301084665 (Michigan) | Primary |
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 Edward P Fody allows following entities to bill medicare on his behalf.
Entity Name | Western Michigan Pathology Associates Pllc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1053394080 PECOS PAC ID: 4880758705 Enrollment ID: O20090121000481 |
---|
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 Edward P Fody 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 Edward P Fody, MD 5700 Southwyck Blvd, Toledo, OH 43614-1509 Ph: (800) 288-8325 | Dr Edward P Fody, MD 602 Michigan Ave, Holland, MI 49423-4918 Ph: (517) 403-0763 |
Reviews and Comments