Bertrand Bezanchong Teh Fonji, MD - Medicare General Surgery in Conway, AR

Bertrand Bezanchong Teh Fonji, MD is a medicare enrolled "Surgery" physician in Conway, Arkansas. He went to State University Of Ny Upstate Medical University and graduated in 2005 and has 19 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Howard Memorial Hospital, Arkansas Health Group and his current practice location is 650 United Dr Ste 240, Conway, Arkansas. You can reach out to his office (for appointments etc.) via phone at (501) 329-1415.

Bertrand Bezanchong Teh Fonji is licensed to practice in Arkansas (license number E-11895) 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 1073764403.

Contact Information

Bertrand Bezanchong Teh Fonji, MD
650 United Dr Ste 240,
Conway, AR 72032-7004
(501) 329-1415
(501) 329-2589



Physician's Profile

Full NameBertrand Bezanchong Teh Fonji
GenderMale
SpecialityGeneral Surgery
Experience19 Years
Location650 United Dr Ste 240, Conway, Arkansas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Bertrand Bezanchong Teh Fonji attended and graduated from State University Of Ny Upstate Medical University in 2005
  NPI Data:
  • NPI Number: 1073764403
  • Provider Enumeration Date: 10/03/2008
  • Last Update Date: 01/25/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9739378456
  • Enrollment ID: I20190212000913

Medical Identifiers

Medical identifiers for Bertrand Bezanchong Teh Fonji such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073764403NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery E-11895 (Arkansas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Howard Memorial HospitalNashville, ARHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Howard Memorial Hospital731585159911
Arkansas Health Group7911802079541

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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. Bertrand Bezanchong Teh Fonji allows following entities to bill medicare on his behalf.
Entity NameHoward Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215102702
PECOS PAC ID: 7315851599
Enrollment ID: O20051221000476

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Entity NameArkansas Health Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891245221
PECOS PAC ID: 7911802079
Enrollment ID: O20161129000401

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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. Bertrand Bezanchong Teh Fonji 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
Bertrand Bezanchong Teh Fonji, MD
11001 Executive Center Dr,
Little Rock, AR 72211-4316

Ph: (501) 329-1415
Bertrand Bezanchong Teh Fonji, MD
650 United Dr Ste 240,
Conway, AR 72032-7004

Ph: (501) 329-1415

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Surgery Doctors in Conway, AR

Dr. Joshua Dickinson, D.O.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 525 Western Ave Ste 203, Conway, AR 72034
Phone: 501-327-4828    Fax: 501-327-6899
Thaddeus Michael Stanton, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 525 Western Ave, Suite 203, Conway, AR 72034
Phone: 501-327-4828    Fax: 501-327-6899
Brock K. King, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 525 Western Ave, Suite 203, Conway, AR 72034
Phone: 501-327-4828    Fax: 501-327-6899
Dr. Theodore W Duensing, DO
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2210 Robinson Ave, Conway, AR 72034
Phone: 501-932-3500    Fax: 501-932-3520
David E Stearns, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 3560 James Ct, Conway, AR 72034
Phone: 501-336-8772    Fax: 501-336-8772
Kenneth Murphy, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1840 Royal Dr, Conway, AR 72034
Phone: 501-733-0889    

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