Audrey Fonkam, - Medicare Internal Medicine in Baltimore, MD

Audrey Fonkam, is a medicare enrolled "Internal Medicine" physician in Baltimore, Maryland. Her current practice location is 301 Saint Paul St, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 332-9808.

Audrey Fonkam is licensed to practice in Maryland (license number D95110) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1003378746.

Contact Information

Audrey Fonkam,
301 Saint Paul St,
Baltimore, MD 21202-2102
(410) 332-9808
Not Available



Physician's Profile

Full NameAudrey Fonkam
GenderFemale
SpecialityInternal Medicine
Location301 Saint Paul St, Baltimore, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003378746
  • Provider Enumeration Date: 04/02/2019
  • Last Update Date: 08/03/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6406181494
  • Enrollment ID: I20221011000061

Medical Identifiers

Medical identifiers for Audrey Fonkam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003378746NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine D95110 (Maryland)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

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. Audrey Fonkam allows following entities to bill medicare on her behalf.
Entity NameSt Paul Place Specialists Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871549196
PECOS PAC ID: 7719882943
Enrollment ID: O20031202000084

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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. Audrey Fonkam 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 AddressPractice Location Address
Audrey Fonkam,
301 Saint Paul St,
Baltimore, MD 21202-2102

Ph: () -
Audrey Fonkam,
301 Saint Paul St,
Baltimore, MD 21202-2102

Ph: (410) 332-9808

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Internal Medicine Doctors in Baltimore, MD

Dr. Leonard Anang Sowah, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 22 S Greene St, Baltimore, MD 21201
Phone: 410-706-4619    Fax: 410-706-2062
Dr. Bhavandeep Singh Bajaj, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3345 Wilkens Avenue, Suite L10, Baltimore, MD 21229
Phone: 410-644-4444    Fax: 410-644-4484
Dr. Yonas Sisay, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 822 Guilford Ave, #100, Baltimore, MD 21202
Phone: 410-385-9672    
Dr. Stephen John Witanowski, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 2700 Quarry Lake Dr, Suite 280, Baltimore, MD 21209
Phone: 410-469-5544    Fax: 410-585-2867
Dr. Susrutha Kotwal, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4940 Eastern Ave, Mfl Bldg, West Tower, 6th Floor, Baltimore, MD 21224
Phone: 410-550-5018    
Dr. Mitesh G Trambadia, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 6701 N Charles St Ste 5218, Baltimore, MD 21204
Phone: 443-849-3786    
Ronak K Patel, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 201 E University Pkwy, Baltimore, MD 21218
Phone: 410-554-2000    

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