Brandon Eugene Fornwalt, - Medicare Otolaryngology in Glendale, AZ

Brandon Eugene Fornwalt, is a medicare enrolled "Otolaryngology" physician in Glendale, Arizona. His current practice location is 18699 N 67th Ave Ste 300, Glendale, Arizona. You can reach out to his office (for appointments etc.) via phone at (623) 566-4718.

Brandon Eugene Fornwalt is licensed to practice in Arizona (license number 009926) 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 1912407172.

Contact Information

Brandon Eugene Fornwalt,
18699 N 67th Ave Ste 300,
Glendale, AZ 85308-7149
(623) 566-4718
(523) 566-4820



Physician's Profile

Full NameBrandon Eugene Fornwalt
GenderMale
SpecialityOtolaryngology
Location18699 N 67th Ave Ste 300, Glendale, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1912407172
  • Provider Enumeration Date: 02/14/2018
  • Last Update Date: 07/03/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9133477748
  • Enrollment ID: I20230713003148

Medical Identifiers

Medical identifiers for Brandon Eugene Fornwalt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912407172NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology 009926 (Arizona)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. Brandon Eugene Fornwalt allows following entities to bill medicare on his behalf.
Entity NameValley Ent Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508990185
PECOS PAC ID: 8729149711
Enrollment ID: O20120202000209

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› Verified 7 days ago

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. Brandon Eugene Fornwalt 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
Brandon Eugene Fornwalt,
9097 E Desert Cove Ave Ste 200,
Scottsdale, AZ 85260-6280

Ph: (928) 614-7516
Brandon Eugene Fornwalt,
18699 N 67th Ave Ste 300,
Glendale, AZ 85308-7149

Ph: (623) 566-4718

News Archive

Mitochondrial stress can trigger tumor-related metabolic shifts, study finds

Cancerous tumors must be fed. Their unregulated growth requires a steady stream of blood flow and nutrients. Thus, one way that researchers have tried to wipe out cancer is to target cells undergoing the metabolic shifts that enable a tumor's rapid growth.

Research project examines unfamiliar space to make it 'older person-friendly'

Urban planning needs to consider how older people use walking routes as well as public areas, concludes a Research Council UK-funded research project from the New Dynamics of Ageing Programme.

CCTP focuses on identifying, testing drugs for cancer stem cell treatment

Cancer and stem cell biology researchers at the University of Colorado are launching the nation's first program focused on identifying and testing drugs that target and destroy cells thought to be at the root of cancer-cancer stem cells (CSCs).The Cancer Stem Cell-Directed Clinical Trials Program (CCTP) is a collaboration between the University of Colorado Cancer Center and the Charles C. Gates Center for Regenerative Medicine and Stem Cell Biology, both located at the University of Colorado School of Medicine.

Derbyshire Community Health Services NHS Trust creates over 100 new jobs to boost patient care

Derbyshire Community Health Services NHS Trust has announced it has created over 100 new jobs to boost patient care and support in the community. A national recruitment campaign for the new posts which include nurses, therapists and health care assistants, has started in order to fill the positions ahead of the winter.

Read more News

› Verified 7 days ago


Otolaryngology Doctors in Glendale, AZ

Dr. David L Simms, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 5750 W. Thunderbird Rd, Suite A-100, Glendale, AZ 85306
Phone: 602-938-3205    Fax: 602-938-5799
Dr. Gordon E Chait, M.D.
Otolaryngology
Medicare: Not Enrolled in Medicare
Practice Location: 5750 W Thunderbird Rd, Ste. A-100, Glendale, AZ 85306
Phone: 602-938-3205    Fax: 602-938-5799
Sudhir P Agarwal, MD
Otolaryngology
Medicare: Not Enrolled in Medicare
Practice Location: 5757 W Thunderbird Road, Suite W301, Glendale, AZ 85306
Phone: 602-938-3777    Fax: 602-547-0379
Elliot Martin Libling, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 18700 N 64th Dr, Ste 312, Glendale, AZ 85308
Phone: 623-566-4718    Fax: 623-566-4820
Michael Rodriguez, D.O.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 20325 N 51st Ave Ste 154, Glendale, AZ 85308
Phone: 623-900-4740    Fax: 855-398-9290
Ravi P Agarwal, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 5757 W Thunderbird Rd, Suite W301, Glendale, AZ 85306
Phone: 602-938-3777    Fax: 602-547-0379
Stephanie Diana Warrington, MD
Otolaryngology
Medicare: Medicare Enrolled
Practice Location: 5750 W Thunderbird Rd Ste A100, Glendale, AZ 85306
Phone: 602-938-3205    Fax: 602-938-5799

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