Dr Michael S Fozo, MD in Saint Clair Shores, MI

Dr Michael S Fozo, MD is a medicare enrolled "Otolaryngology - Plastic Surgery Within The Head & Neck" physician in Saint Clair Shores, Michigan. He went to New York Medical College and graduated in 1997 and has 28 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Ascension St John Hospital, Lakeshore Ear Nose And Throat Center Pc and his current practice location is 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, Michigan. You can reach out to his office (for appointments etc.) via phone at (586) 779-7610.

Dr Michael S Fozo is licensed to practice in Michigan (license number MF075562) 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 1114019627.

Contact Information

	Dr Michael S Fozo, MD
	21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081-1116
	(586) 779-7610
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Michael S Fozo
Gender	Male
Speciality	Otolaryngology
Experience	28 Years
Location	21000 E 12 Mile Rd, Saint Clair Shores, Michigan
Accepts Medicare Assignments	Yes. 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 Michael S Fozo attended and graduated from New York Medical College in 1997

NPI Data:

NPI Number: 1114019627
Provider Enumeration Date: 09/29/2006
Last Update Date: 10/05/2007

Medicare PECOS Information:

PECOS PAC ID: 4789871971
Enrollment ID: I20101214000912

Medical Identifiers

Medical identifiers for Dr Michael S Fozo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114019627	NPI	-	NPPES
4339229	Other		AETNA
H68407	Other		HEALTH ALLIANCE PLAN
0501379	Other		BLUE CARE NETWORK
4505853	Medicaid	MI
136815	Other		CARE CHOICES
P00014677	Other		RAILROAD MEDICARE
141736	Other		GREAT LAKES HEALTH PLAN
16056	Other		MCAR
6029816	Other		CIGNA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207YX0007X	Otolaryngology - Plastic Surgery Within The Head & Neck	MF075562 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ascension St John Hospital	Detroit, MI	Hospital
Henry Ford Macomb Hospital	Clinton township, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ascension St John Hospital	3173424082	305
Lakeshore Ear Nose And Throat Center Pc	7315928934	8

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 S Fozo allows following entities to bill medicare on his behalf.

Entity Name	Ascension Medical Group Michigan
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942317631 PECOS PAC ID: 0648180406 Enrollment ID: O20031113000362

Entity Name	Ascension St John Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043478910 PECOS PAC ID: 3173424082 Enrollment ID: O20040115000409

Entity Name	Lakeshore Ear Nose And Throat Center Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285803346 PECOS PAC ID: 7315928934 Enrollment ID: O20040528000112

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 S Fozo 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 S Fozo, MD 21000 E 12 Mile Rd, Ste 111, St Clair Shores, MI 48081 Ph: (586) 779-7610	Dr Michael S Fozo, MD 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081-1116 Ph: (586) 779-7610

Reviews and Comments

Otolaryngology Doctors in Saint Clair Shores, MI

Dr. Douglas Carl Kubek, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 21000 E 12 Mile Rd, Ste 111, Saint Clair Shores, MI 48081 Phone: 586-779-7610 Fax: 586-779-1391
Dr. Andrew Bennett Sewell, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 21000 E 12 Mile Rd Ste 111, Saint Clair Shores, MI 48081 Phone: 586-779-7610 Fax: 586-779-0031
Dr. Andrew I. Dzul, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081 Phone: 586-779-7610
Dr. Adam D Rubin, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081 Phone: 586-779-7610
Dr. Robert E Brammer, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081 Phone: 586-779-7610
Cameron M Heilbronn, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 21000 E 12 Mile Rd Ste 111, Saint Clair Shores, MI 48081 Phone: 586-779-7610 Fax: 586-779-7882

Dr Michael S Fozo, MD - Medicare Otolaryngology in Saint Clair Shores, MI