Paul Frederick Fader, MD is a medicare enrolled "Family Medicine" physician in Provincetown, Massachusetts. He went to Michigan State University College Of Human Medicine and graduated in 1986 and has 38 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Outer Cape Health Services Inc, Outer Cape Health Services Inc and his current practice location is
49 Harry Kemp Way, Provincetown, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(508) 487-9395.
Paul Frederick Fader is licensed to practice in Arizona (license number 19986) 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 1942205620.
Physician's Profile
| Full Name | Paul Frederick Fader |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 38 Years |
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| Location | 49 Harry Kemp Way, Provincetown, Massachusetts |
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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:
- Paul Frederick Fader attended and graduated from Michigan State University College Of Human Medicine in 1986
NPI Data:
- NPI Number: 1942205620
- Provider Enumeration Date: 06/17/2005
- Last Update Date: 03/10/2021
Medicare PECOS Information:
- PECOS PAC ID: 1951329028
- Enrollment ID: I20100319000206
Medical Identifiers
Medical identifiers for Paul Frederick Fader such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942205620 | NPI | - | NPPES |
| 07630799X | Other | AZ | STATE TAX ID NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 19986 (Arizona) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Outer Cape Health Services Inc | 4385554971 | 42 |
| Outer Cape Health Services Inc | 4385554971 | 42 |
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. Paul Frederick Fader allows following entities to bill medicare on his behalf.
| Entity Name | Tuba City Regional Health Care Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548294424
PECOS PAC ID: 4284542531
Enrollment ID: O20031105000107 |
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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. Paul Frederick Fader 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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Paul Frederick Fader, MD
Po Box 598,
Harwich Port, MA 02646-0598
Ph: (508) 905-2800 | Paul Frederick Fader, MD
49 Harry Kemp Way,
Provincetown, MA 02657-1618
Ph: (508) 487-9395 |
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