Heather Fonarev, is a medicare enrolled "Nurse Practitioner - Adult Health" physician in New York, New York. She graduated from medical school in 2022 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice New York University and her current practice location is
160 E 34th St, New York, New York. You can reach out to her office (for appointments etc.) via phone at
(212) 731-6000.
Heather Fonarev is licensed to practice in New York (license number 310791) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1417682782.
Physician's Profile
| Full Name | Heather Fonarev |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 160 E 34th St, New York, New York |
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| Accepts Medicare Assignments | Yes. She 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:
- Heather Fonarev graduated from medical school in 2022
NPI Data:
- NPI Number: 1417682782
- Provider Enumeration Date: 07/20/2022
- Last Update Date: 04/02/2025
Medicare PECOS Information:
- PECOS PAC ID: 1355716903
- Enrollment ID: I20240810000372
Medical Identifiers
Medical identifiers for Heather Fonarev such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1417682782 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2082S0099X | Plastic Surgery - Plastic Surgery Within The Head And Neck | 310791 (New York) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | 310791 (New York) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 310791 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| New York University | 1355232422 | 5805 |
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. Heather Fonarev allows following entities to bill medicare on her behalf.
| Entity Name | New York University |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285826438
PECOS PAC ID: 1355232422
Enrollment ID: O20090822000026 |
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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. Heather Fonarev 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 |
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Heather Fonarev,
20 Randolph Pl,
West Orange, NJ 07052-4808
Ph: (978) 793-3782 | Heather Fonarev,
160 E 34th St,
New York, NY 10016-4744
Ph: (212) 731-6000 |
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