Dr Michael Fenlon, MD is a medicare enrolled "Transplant Surgery" physician in Chicago, Illinois. His current practice location is
225 East Chicago Avenue, Box#57, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at
(312) 227-4646.
Dr Michael Fenlon is licensed to practice in Utah (license number 14158197-1235) 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 1851779052.
Physician's Profile
| Full Name | Dr Michael Fenlon |
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| Gender | Male |
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| Speciality | Transplant Surgery |
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| Location | 225 East Chicago Avenue, Chicago, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1851779052
- Provider Enumeration Date: 05/08/2015
- Last Update Date: 10/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 7416203708
- Enrollment ID: I20241101001603
Medical Identifiers
Medical identifiers for Dr Michael Fenlon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1851779052 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208600000X | Surgery | 135974 (California) | Secondary |
| 2086S0120X | Surgery - Pediatric Surgery | 036166547 (Illinois) | Secondary |
| 204F00000X | Transplant Surgery | 14158197-1235 (Utah) | 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 Michael Fenlon allows following entities to bill medicare on his behalf.
| Entity Name | Ihc Health Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079 |
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| Entity Name | University Of Utah Adult Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683 |
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| Entity Name | University Of Utah Pediatric Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487018974 PECOS PAC ID: 0547552473 Enrollment ID: O20160713000371 |
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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 Michael Fenlon 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 Michael Fenlon, MD 225 East Chicago Avenue, Box#57, Chicago, IL 60611 Ph: () - | Dr Michael Fenlon, MD 225 East Chicago Avenue, Box#57, Chicago, IL 60611 Ph: (312) 227-4646 |
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