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Elliot Fagelman, M.D., F.A.C.S.
Mark Fagelman, M.D., F.A.C.S.

Diplomates American Board of Urology


What to Bring to Your Appointment | Insurance and Payment Information
Notice of Privacy Practices

What to Bring to Your Appointment

  • Your insurance card
  • Physician referral forms if required by insurance
  • A list of current prescriptions and/or over-the-counter medications you are taking, including dose and frequency
  • Pertinent information about your medical and surgical history
  • Any recent x-rays or appropriate records you may have

Insurance and Payment Information

Our practice is a provider for Medicare and most major insurance plans. We provide insurance billing. Anything not covered by insurance will be your responsibility.

We request payment at the time of your appointment for services that are not covered by insurance. Your insurance company may also require you to pay a co-payment at the time of your appointment. When necessary, our staff will work closely with patients who require a payment plan.

If you have any questions regarding which insurance plans we accept or any patient billing concerns, please call us at the phone number below. Questions regarding your coverage and benefits should be directed to your employer or insurance company.

Notice of Privacy Practices

Please review our Privacy Practices (PDF). [PDF help]



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Elliot Fagelman, M.D., F.A.C.S.
Mark Fagelman, M.D., F.A.C.S.

Diplomates American Board of Urology

11 Medical Park Drive
Suite 101
Pomona, NY 10970
Tel: 845.354.5800
Fax: 845.354.5966
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