Dr Dominic Carl Fano, DO - Medicare Family Practice in Mount Clemens, MI

Dr Dominic Carl Fano, DO is a medicare enrolled "Family Medicine" physician in Mount Clemens, Michigan. He went to Wayne State University School Of Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Henry Ford Medical Group and his current practice location is 1000 Harrington Blvd., Mount Clemens, Michigan. You can reach out to his office (for appointments etc.) via phone at (586) 493-3727.

Dr Dominic Carl Fano is licensed to practice in Michigan (license number 5101020631) 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 1316387491.

Contact Information

Dr Dominic Carl Fano, DO
1000 Harrington Blvd.,
Mount Clemens, MI 48043-2920
(586) 493-3727
Not Available



Physician's Profile

Full NameDr Dominic Carl Fano
GenderMale
SpecialityFamily Practice
Experience16 Years
Location1000 Harrington Blvd., Mount Clemens, Michigan
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:
  • Dr Dominic Carl Fano attended and graduated from Wayne State University School Of Medicine in 2008
  NPI Data:
  • NPI Number: 1316387491
  • Provider Enumeration Date: 07/03/2013
  • Last Update Date: 04/12/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6002135795
  • Enrollment ID: I20150724011687

Medical Identifiers

Medical identifiers for Dr Dominic Carl Fano such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316387491NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 5101020631 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Henry Ford Home Health CareDetroit, MIHome health agency
Henry Ford HospitalDetroit, MIHospital
Henry Ford West Bloomfield HospitalWest bloomfield, MIHospital
Henry Ford Macomb HospitalClinton township, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Henry Ford Medical Group05471783112095

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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. Dr Dominic Carl Fano allows following entities to bill medicare on his behalf.
Entity NameHenry Ford Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134144801
PECOS PAC ID: 0547178311
Enrollment ID: O20031105000139

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Entity NameRochester Urgent Care, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316018971
PECOS PAC ID: 2264334564
Enrollment ID: O20040127000012

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Entity NameLakeside Urgent Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720159304
PECOS PAC ID: 0446146385
Enrollment ID: O20040226000404

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Entity NameOxford Urgent Care P L C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700036936
PECOS PAC ID: 7214094291
Enrollment ID: O20090318000322

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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. Dr Dominic Carl Fano 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
Dr Dominic Carl Fano, DO
1000 Harrington Blvd.,
Mount Clemens, MI 48043-2920

Ph: (586) 493-3727
Dr Dominic Carl Fano, DO
1000 Harrington Blvd.,
Mount Clemens, MI 48043-2920

Ph: (586) 493-3727

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Family Medicine Doctors in Mount Clemens, MI

Mrs. Donyelle Moore-baldwin, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 18 Market St Ste C, Mount Clemens, MI 48043
Phone: 586-783-2222    Fax: 583-783-6380
Gladstone Anthony Payton Sr., DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 247 N Gratiot Ave, Mount Clemens, MI 48043
Phone: 586-468-8088    Fax: 586-468-8283
Dr. Joseph Thomas Naughton, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 18 Market St Ste C, Mount Clemens, MI 48043
Phone: 586-783-2222    
Dr. Giacomo Pierce Folden, D.O
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Harrington St, Mount Clemens, MI 48043
Phone: 586-493-8000    
Dr. William Matthew Jacobs, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Harrington St, Mount Clemens, MI 48043
Phone: 586-493-8000    
Taylor Rae Roach, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Harrington St, Mount Clemens, MI 48043
Phone: 586-493-8142    Fax: 586-493-3250
Dr. Angelica Radzioch, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Harrington St, Mount Clemens, MI 48043
Phone: 586-493-8000    

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