Matthew Joseph Fanelli, MD is a medicare enrolled "Dermatology" physician in Fishersville, Virginia. He went to University Of Maryland School Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Forefront Dermatology, Forefront Dermatology and his current practice location is
66 Parkway Ln Ste 101a, Fishersville, Virginia. You can reach out to his office (for appointments etc.) via phone at
(540) 451-2833.
Matthew Joseph Fanelli is licensed to practice in Virginia (license number 0101276020) 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 1568789279.
Physician's Profile
| Full Name | Matthew Joseph Fanelli |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 15 Years |
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| Location | 66 Parkway Ln Ste 101a, Fishersville, Virginia |
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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:
- Matthew Joseph Fanelli attended and graduated from University Of Maryland School Of Medicine in 2009
NPI Data:
- NPI Number: 1568789279
- Provider Enumeration Date: 04/21/2010
- Last Update Date: 08/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 2567782923
- Enrollment ID: I20190829000054
Medical Identifiers
Medical identifiers for Matthew Joseph Fanelli such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1568789279 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 71653-20 (Wisconsin) | Secondary |
| 207N00000X | Dermatology | 036.137205 (Illinois) | Secondary |
| 207N00000X | Dermatology | 51923 (South Carolina) | Secondary |
| 207N00000X | Dermatology | 0101276020 (Virginia) | Primary |
Medical Facilities Affiliation
| Facility Name | Location | Facility Type |
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| Augusta Health | Fishersville, VA | Hospital |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Forefront Dermatology | 3779471701 | 474 |
| Forefront Dermatology | 3779471701 | 474 |
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. Matthew Joseph Fanelli allows following entities to bill medicare on his behalf.
| Entity Name | Forefront Dermatology Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083768253
PECOS PAC ID: 3779471701
Enrollment ID: O20040310000252 |
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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. Matthew Joseph Fanelli 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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Matthew Joseph Fanelli, MD
801 York St,
Manitowoc, WI 54220-4630
Ph: (920) 663-9008 | Matthew Joseph Fanelli, MD
66 Parkway Ln Ste 101a,
Fishersville, VA 22939-2385
Ph: (540) 451-2833 |
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