Mitchell Andrew Fogel, MD in Bridgeport, CT - Medicare Internal Medicine

Mitchell Andrew Fogel, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Bridgeport, Connecticut. His current practice location is 900 Madison Ave, Suite 209, Bridgeport, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 335-0195.

Mitchell Andrew Fogel is licensed to practice in Connecticut (license number 030630) 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 1003815887.

Contact Information

	Mitchell Andrew Fogel, MD
	900 Madison Ave, Suite 209, Bridgeport, CT 06606-5534
	(203) 335-0195
	(203) 335-7293

Map and Direction

Physician's Profile

Full Name	Mitchell Andrew Fogel
Gender	Male
Speciality	Internal Medicine - Nephrology
Location	900 Madison Ave, Bridgeport, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003815887
Provider Enumeration Date: 07/14/2005
Last Update Date: 07/09/2015

Medicare PECOS Information:

PECOS PAC ID: 3870480361
Enrollment ID: I20100210000557

Medical Identifiers

Medical identifiers for Mitchell Andrew Fogel such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003815887	NPI	-	NPPES
001306308	Medicaid	CT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	030630 (Connecticut)	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. Mitchell Andrew Fogel allows following entities to bill medicare on his behalf.

Entity Name	St. Vincent's Multispecialty Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043544489 PECOS PAC ID: 6204977218 Enrollment ID: O20100112000538

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. Mitchell Andrew Fogel 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
Mitchell Andrew Fogel, MD 900 Madison Ave, Suite 209, Bridgeport, CT 06606-5534 Ph: (203) 335-0195	Mitchell Andrew Fogel, MD 900 Madison Ave, Suite 209, Bridgeport, CT 06606-5534 Ph: (203) 335-0195

Reviews and Comments

Internal Medicine Doctors in Bridgeport, CT

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Ms. Lucia Plichtova, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 267 Grant Street, Bridgeport, CT 06610 Phone: 203-384-3792
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Karen A Hutchinson, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 226 Mill Hill Ave, 3rd Floor, Bridgeport, CT 06610 Phone: 203-384-3873 Fax: 203-384-3829

Mitchell Andrew Fogel, MD - Medicare Internal Medicine in Bridgeport, CT