| Dr Ilya Fonarov, DO | |
|
12955 Sw 43rd Ct, Miramar, FL 33027-3182 | |
| (305) 829-1494 | |
| Not Available |
| Full Name | Dr Ilya Fonarov |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 24 Years |
| Location | 12955 Sw 43rd Ct, Miramar, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679584098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OS 9021 (Florida) | Secondary |
| 208M00000X | Hospitalist | OS9021 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jackson Health System | Miami, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Public Health Trust Of Miami Dade County Florida | 0244380434 | 392 |
| Entity Name | Cogent Healthcare Of Pensacola Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346287182 PECOS PAC ID: 1153226766 Enrollment ID: O20031205000170 |
| Entity Name | Public Health Trust Of Miami Dade County Florida |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134384423 PECOS PAC ID: 0244380434 Enrollment ID: O20090610000019 |
| Entity Name | Qmc Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003216391 PECOS PAC ID: 7517243447 Enrollment ID: O20170407001493 |
| Entity Name | First Docs Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417655465 PECOS PAC ID: 0547626871 Enrollment ID: O20240606002364 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ilya Fonarov, DO 12955 Sw 43rd Ct, Miramar, FL 33027-3182 Ph: (305) 829-1494 | Dr Ilya Fonarov, DO 12955 Sw 43rd Ct, Miramar, FL 33027-3182 Ph: (305) 829-1494 |
Dr. Shamim Lalani, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3601 Sw 160th Ave, Suite 250, Miramar, FL 33027 Phone: 877-866-7123 |