Dr Maxwell Tanyi Fohtung, - Medicare General Surgery in Saint Louis, MO

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Dr Maxwell Tanyi Fohtung, is a medicare enrolled "General Practice" physician in Saint Louis, Missouri. He went to Indiana University School Of Medicine and graduated in 2015 and has 11 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Pro Health One Inc and his current practice location is 4949 W Pine Blvd, Saint Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at (314) 389-1496.

Dr Maxwell Tanyi Fohtung is licensed to practice in Colorado (license number DR.0069226) 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 1982088571.

Contact Information

Dr Maxwell Tanyi Fohtung,
4949 W Pine Blvd,
Saint Louis, MO 63108
(314) 389-1496
Not Available

Map and Direction




Physician's Profile

Full NameDr Maxwell Tanyi Fohtung
GenderMale
SpecialityGeneral Surgery
Experience11 Years
Location4949 W Pine Blvd, Saint Louis, Missouri
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 Maxwell Tanyi Fohtung attended and graduated from Indiana University School Of Medicine in 2015
  NPI Data:
  • NPI Number: 1982088571
  • Provider Enumeration Date: 07/14/2015
  • Last Update Date: 03/31/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 4880908474
  • Enrollment ID: I20221121001125

Medical Identifiers

Medical identifiers for Dr Maxwell Tanyi Fohtung such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982088571NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 2018011353 (Missouri)Secondary
208600000XSurgery 2018011353 (Missouri)Secondary
208D00000XGeneral Practice DR.0069226 (Colorado)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pro Health One Inc246677808928

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 Maxwell Tanyi Fohtung allows following entities to bill medicare on his behalf.
Entity NameVohra Wound Physicians Of The West Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205176096
PECOS PAC ID: 5890931331
Enrollment ID: O20130429000364
Entity NamePro Health One Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053714584
PECOS PAC ID: 2466778089
Enrollment ID: O20171120000890
Entity NameSignify Health Medical Associates Of Colorado Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023625662
PECOS PAC ID: 8527474899
Enrollment ID: O20210311000251

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 Maxwell Tanyi Fohtung 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 Maxwell Tanyi Fohtung,
4949 W Pine Blvd,
Saint Louis, MO 63108-1431

Ph: (314) 362-5000		Dr Maxwell Tanyi Fohtung,
4949 W Pine Blvd,
Saint Louis, MO 63108

Ph: (314) 389-1496

Reviews and Comments


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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.

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