Dr Fadel Fons Talasoun Azer, MD is a medicare enrolled "Obstetrics & Gynecology - Gynecology" physician in Lisle, Illinois. He graduated from medical school in 1999 and has 26 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Advanced Gynecology Practice Llc and his current practice location is
3033 Ogden Ave Ste 300, Lisle, Illinois. You can reach out to his office (for appointments etc.) via phone at
(630) 743-9010.
Dr Fadel Fons Talasoun Azer is licensed to practice in Illinois (license number 036125013) 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 1619178845.
Physician's Profile
| Full Name | Dr Fadel Fons Talasoun Azer |
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| Gender | Male |
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| Speciality | Obstetrics/gynecology |
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| Experience | 26 Years |
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| Location | 3033 Ogden Ave Ste 300, Lisle, Illinois |
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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. |
Medical Education and Training:
- Dr Fadel Fons Talasoun Azer graduated from medical school in 1999
NPI Data:
- NPI Number: 1619178845
- Provider Enumeration Date: 05/28/2007
- Last Update Date: 05/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 7012181456
- Enrollment ID: I20111121000224
Medical Identifiers
Medical identifiers for Dr Fadel Fons Talasoun Azer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1619178845 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207V00000X | Obstetrics & Gynecology | 4301088109 (Michigan) | Secondary |
| 207VX0000X | Obstetrics & Gynecology - Obstetrics | 036125013 (Illinois) | Secondary |
| 207VG0400X | Obstetrics & Gynecology - Gynecology | 036125013 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Advanced Gynecology Practice Llc | 8325412240 | 2 |
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 Fadel Fons Talasoun Azer allows following entities to bill medicare on his behalf.
| Entity Name | Vna Health Care |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508826983 PECOS PAC ID: 6901879311 Enrollment ID: O20041004000258 |
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| Entity Name | Advanced Gynecology Practice Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598462426 PECOS PAC ID: 8325412240 Enrollment ID: O20230316000547 |
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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 Fadel Fons Talasoun Azer 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 Fadel Fons Talasoun Azer, MD 3033 Ogden Ave Ste 300, Lisle, IL 60532-1976 Ph: (331) 702-2455 | Dr Fadel Fons Talasoun Azer, MD 3033 Ogden Ave Ste 300, Lisle, IL 60532-1976 Ph: (630) 743-9010 |
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