Edward R Fog, DO - Medicare Emergency Medicine in Atlantic City, NJ

Edward R Fog, DO is a medicare enrolled "Emergency Medicine" physician in Atlantic City, New Jersey. He went to Rowan University School Of Osteopathic Medicine and graduated in 1998 and has 26 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Atlanticare Physician Group Pa and his current practice location is 1925 Pacific Ave, Atlantic City, New Jersey. You can reach out to his office (for appointments etc.) via phone at (609) 441-8127.

Edward R Fog is licensed to practice in New Jersey (license number MB71314) 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 1699707232.

Contact Information

Edward R Fog, DO
1925 Pacific Ave,
Atlantic City, NJ 08401-6713
(609) 441-8127
Not Available



Physician's Profile

Full NameEdward R Fog
GenderMale
SpecialityEmergency Medicine
Experience26 Years
Location1925 Pacific Ave, Atlantic City, New Jersey
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:
  • Edward R Fog attended and graduated from Rowan University School Of Osteopathic Medicine in 1998
  NPI Data:
  • NPI Number: 1699707232
  • Provider Enumeration Date: 07/06/2006
  • Last Update Date: 12/21/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 2668438458
  • Enrollment ID: I20041203000255

Medical Identifiers

Medical identifiers for Edward R Fog such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699707232NPI-NPPES
2090379000OtherNJAMERIHEALTH
8837708MedicaidNJ
60018857OtherNJHORIZON NJ HEALTH
30028085OtherNJKEYSTONE MERCY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine MB71314 (New Jersey)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Atlanticare Physician Group Pa8527953660495

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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. Edward R Fog allows following entities to bill medicare on his behalf.
Entity NameAtlanticare Physician Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093829608
PECOS PAC ID: 8527953660
Enrollment ID: O20040218000405

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Entity NameAtlanticare Urgent Care Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083991616
PECOS PAC ID: 3971770959
Enrollment ID: O20120113000486

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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. Edward R Fog 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
Edward R Fog, DO
307 S Evergreen Ave,
Woodbury, NJ 08096-2739

Ph: (856) 686-4300
Edward R Fog, DO
1925 Pacific Ave,
Atlantic City, NJ 08401-6713

Ph: (609) 441-8127

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Emergency Medicine Doctors in Atlantic City, NJ

Manisha Khatiwala, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1925 Pacific Ave, Atlantic City, NJ 08401
Phone: 609-345-4000    
Marie Farnsworth,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1925 Pacific Ave, Atlantic City, NJ 08401
Phone: 609-345-4000    
Irineo Bustamante Jr., MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1925 Pacific Ave, Atlantic City, NJ 08401
Phone: 609-345-4000    
Dr. Michael Steven Westrol, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1925 Pacific Ave, 8th Floor, Atlantic City, NJ 08401
Phone: 609-441-8127    
Nancy Hawkins, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1925 Pacific Ave, Atlantic City, NJ 08401
Phone: 609-345-4000    
Dr. John Daniel Keogh, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1925 Pacific Ave, Atlantic City, NJ 08401
Phone: 609-441-8127    
Thomas Brabson,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1925 Pacific Ave, Atlantic City, NJ 08401
Phone: 609-345-4000    

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