| Dr Vivien S Fongue Fongue, DO | |
|
6200 Sw 72nd St, Suite 602, South Miami, FL 33143-4828 | |
| (786) 662-0600 | |
| (786) 533-9419 |
| Full Name | Dr Vivien S Fongue Fongue |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 17 Years |
| Location | 6200 Sw 72nd St, South Miami, 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 |
|---|---|---|---|
| 1427210889 | NPI | - | NPPES |
| 03850373 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 272692 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| High Standard Health Services Inc | Miami, FL | Home health agency |
| South Miami Hospital | South miami, FL | Hospital |
| Baptist Hospital Of Miami | Miami, FL | Hospital |
| Doctors Hospital | Coral gables, FL | Hospital |
| West Kendall Baptist Hospital | Miami, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rehabclinics Pta Inc | 0547237497 | 133 |
| Baptist Health Medical Group Orthopedics, Llc | 9335228899 | 67 |
| Select Physical Therapy Holdings Inc | 9537076401 | 1463 |
| Entity Name | Baptist Health Medical Group Orthopedics, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700072535 PECOS PAC ID: 9335228899 Enrollment ID: O20080508000540 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Vivien S Fongue Fongue, DO Po Box 100905, Atlanta, GA 30384-0905 Ph: (786) 662-0600 | Dr Vivien S Fongue Fongue, DO 6200 Sw 72nd St, Suite 602, South Miami, FL 33143-4828 Ph: (786) 662-0600 |
Stephen J Miller, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6280 Sunset Dr, Suite 505, South Miami, FL 33143 Phone: 305-668-5636 Fax: 305-668-5621 | |
Dr. Cody Michael Brown, DO Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 7031 Sw 62nd Ave, South Miami, FL 33143 Phone: 305-284-7761 | |
Dr. Sergio Luis Peguero Valdes, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 6200 Sw 73rd St, South Miami, FL 33143 Phone: 786-662-4000 | |
Dr. Ali M Maziad, MD, PHD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 7000 Sw 62nd Ave Ste 600, South Miami, FL 33143 Phone: 305-284-7577 Fax: 305-284-7688 | |
Dr. Tyler Daniel Kalbac, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6701 Sunset Dr Ste 201, South Miami, FL 33143 Phone: 305-661-7601 Fax: 305-661-0154 | |
Dr. Lauren E Crocco, MD Orthopedic Surgery Medicare: May Accept Medicare Assignments Practice Location: 6200 Sw 73rd St, Suite 602, South Miami, FL 33143 Phone: 786-662-0600 |