Eduard Fuzaylov, is a medicare enrolled "Hospitalist" physician in Manalapan, New Jersey. He graduated from medical school in 1989 and has 36 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Theodore C Docu Md, Pc and his current practice location is
223 Taylors Mills Road, Manalapan, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(732) 851-6673.
Eduard Fuzaylov is licensed to practice in New York (license number 245895) 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 1891974507.
Physician's Profile
| Full Name | Eduard Fuzaylov |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 36 Years |
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| Location | 223 Taylors Mills Road, Manalapan, New Jersey |
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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:
- Eduard Fuzaylov graduated from medical school in 1989
NPI Data:
- NPI Number: 1891974507
- Provider Enumeration Date: 10/30/2007
- Last Update Date: 06/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 2062592272
- Enrollment ID: I20071231000008
Medical Identifiers
Medical identifiers for Eduard Fuzaylov such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891974507 | NPI | - | NPPES |
| 0244899 | Medicaid | NJ | |
| 02978834 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 2458951 (New York) | Secondary |
| 207R00000X | Internal Medicine | 245895 (New York) | Secondary |
| 207R00000X | Internal Medicine | 25MA08308000 (New Jersey) | Secondary |
| 208M00000X | Hospitalist | 245895 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Theodore C Docu Md, Pc | 6002911070 | 3 |
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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. Eduard Fuzaylov allows following entities to bill medicare on his behalf.
| Entity Name | New York Gracie Square Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215911946
PECOS PAC ID: 5698666758
Enrollment ID: O20040320000381 |
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| Entity Name | Theodore C Docu Md, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730304270
PECOS PAC ID: 6002911070
Enrollment ID: O20070419000411 |
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| Entity Name | Lawrence Medical Associates Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023257441
PECOS PAC ID: 1759439631
Enrollment ID: O20090504000017 |
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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. Eduard Fuzaylov 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 |
|---|
Eduard Fuzaylov,
223 Taylors Mills Road,
Manalapan, NJ 07726-3570
Ph: (732) 851-6673 | Eduard Fuzaylov,
223 Taylors Mills Road,
Manalapan, NJ 07726
Ph: (732) 851-6673 |
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