Michael Fattouh, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Bronx, New York. He went to Albert Einstein College Of Medicine Of Yeshiva University and graduated in 2018 and has 7 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Montefiore Medical Center and his current practice location is
111 E 210th St, Bronx, New York. You can reach out to his office (for appointments etc.) via phone at
(718) 920-2057.
Michael Fattouh is licensed to practice in New York (license number ) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1285139089.
Physician's Profile
| Full Name | Michael Fattouh |
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| Gender | Male |
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| Speciality | Cardiovascular Disease (cardiology) |
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| Experience | 7 Years |
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| Location | 111 E 210th St, Bronx, New York |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Michael Fattouh attended and graduated from Albert Einstein College Of Medicine Of Yeshiva University in 2018
NPI Data:
- NPI Number: 1285139089
- Provider Enumeration Date: 03/26/2018
- Last Update Date: 06/25/2021
Medicare PECOS Information:
- PECOS PAC ID: 3375892649
- Enrollment ID: I20240911003750
Medical Identifiers
Medical identifiers for Michael Fattouh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1285139089 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 275907 (Massachusetts) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Montefiore Medical Center | 3779496021 | 2350 |
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. Michael Fattouh allows following entities to bill medicare on his behalf.
| Entity Name | Montefiore Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063525152
PECOS PAC ID: 3779496021
Enrollment ID: O20031113000235 |
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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. Michael Fattouh 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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Michael Fattouh, MD
111 E 210th St,
Bronx, NY 10467-2401
Ph: (718) 920-2057 | Michael Fattouh, MD
111 E 210th St,
Bronx, NY 10467-2401
Ph: (718) 920-2057 |
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