Thomas R Fennell, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Charlottesville, Virginia. He went to Wayne State University School Of Medicine and graduated in 2007 and has 18 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Inova Health Care Services - Pathology, Inova Health Care Services - Pathology and his current practice location is
1215 Lee St # 800904, Charlottesville, Virginia. You can reach out to his office (for appointments etc.) via phone at
(434) 924-1946.
Thomas R Fennell is licensed to practice in Virginia (license number 0101274382) 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 1386844405.
Physician's Profile
| Full Name | Thomas R Fennell |
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| Gender | Male |
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| Speciality | Pathology |
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| Experience | 18 Years |
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| Location | 1215 Lee St # 800904, Charlottesville, 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. |
Medical Education and Training:
- Thomas R Fennell attended and graduated from Wayne State University School Of Medicine in 2007
NPI Data:
- NPI Number: 1386844405
- Provider Enumeration Date: 07/18/2007
- Last Update Date: 06/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 4486810082
- Enrollment ID: I20240912002252
Medical Identifiers
Medical identifiers for Thomas R Fennell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1386844405 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207ZP0101X | Pathology - Anatomic Pathology | 4301090586 (Michigan) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 0101274382 (Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Inova Health Care Services - Pathology | 8426241647 | 43 |
| Inova Health Care Services - Pathology | 8426241647 | 43 |
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. Thomas R Fennell allows following entities to bill medicare on his behalf.
| Entity Name | Inova Health Care Services - Pathology |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427369578 PECOS PAC ID: 8426241647 Enrollment ID: O20101020001195 |
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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. Thomas R Fennell 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 |
Thomas R Fennell, MD 1215 Lee St # 800904, Charlottesville, VA 22908-0816 Ph: (434) 924-1946 | Thomas R Fennell, MD 1215 Lee St # 800904, Charlottesville, VA 22908-0816 Ph: (434) 924-1946 |
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