Dr Martin Ryan Fetzer, DO is a medicare enrolled "Physical Medicine & Rehabilitation - Pain Medicine" physician in Lombard, Illinois. His current practice location is
1801 S Highland Ave Ste 220, Lombard, Illinois. You can reach out to his office (for appointments etc.) via phone at
(630) 967-2225.
Dr Martin Ryan Fetzer is licensed to practice in Illinois (license number 036129085) 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 1649499476.
Physician's Profile
| Full Name | Dr Martin Ryan Fetzer |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 1801 S Highland Ave Ste 220, Lombard, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Martin Ryan Fetzer attended and graduated from in
NPI Data:
- NPI Number: 1649499476
- Provider Enumeration Date: 04/24/2007
- Last Update Date: 08/07/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Martin Ryan Fetzer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649499476 | NPI | - | NPPES |
| 036129085 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | OS014454 (Pennsylvania) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 5101017042 (Michigan) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 036129085 (Illinois) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 036129085 (Illinois) | Primary |
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 Martin Ryan Fetzer 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 Martin Ryan Fetzer, DO
Po Box 713260,
Chicago, IL 60677-1260
Ph: (630) 469-9200 | Dr Martin Ryan Fetzer, DO
1801 S Highland Ave Ste 220,
Lombard, IL 60148-4932
Ph: (630) 967-2225 |
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