Jonathan Simon Fain, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Mansfield, Ohio. His current practice location is
335 Glessner Ave, Pathology Department, Mansfield, Ohio. You can reach out to his office (for appointments etc.) via phone at
(419) 526-8509.
Jonathan Simon Fain is licensed to practice in Ohio (license number 35063392) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1790837615.
Physician's Profile
| Full Name | Jonathan Simon Fain |
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| Gender | Male |
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| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
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| Location | 335 Glessner Ave, Mansfield, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1790837615
- Provider Enumeration Date: 01/18/2007
- Last Update Date: 03/26/2014
Medicare PECOS Information:
- PECOS PAC ID: 5496889677
- Enrollment ID: I20100811000048
Medical Identifiers
Medical identifiers for Jonathan Simon Fain such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1790837615 | NPI | - | NPPES |
| 0881149 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 35063392 (Ohio) | Primary |
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. Jonathan Simon Fain allows following entities to bill medicare on his behalf.
| Entity Name | Associated Pathology Laboratories Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1891905857 PECOS PAC ID: 2163556119 Enrollment ID: O20100813000080 |
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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. Jonathan Simon Fain 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 |
Jonathan Simon Fain, MD 5700 Southwyck Blvd, Toledo, OH 43614-1509 Ph: (800) 288-8325 | Jonathan Simon Fain, MD 335 Glessner Ave, Pathology Department, Mansfield, OH 44903-2269 Ph: (419) 526-8509 |
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