Lisa Rosemary Fazzolari, DO - Medicare Psychiatry & Neurology in Pleasanton, CA

Lisa Rosemary Fazzolari, DO is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Pleasanton, California. Her current practice location is 5674 Stoneridge Dr, Suite 116, Pleasanton, California. You can reach out to her office (for appointments etc.) via phone at (925) 520-0005.

Lisa Rosemary Fazzolari is licensed to practice in California (license number 20A8371) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1679793269.

Contact Information

Lisa Rosemary Fazzolari, DO
5674 Stoneridge Dr, Suite 116,
Pleasanton, CA 94588-8500
(925) 520-0005
Not Available

Map and Direction




Physician's Profile

Full NameLisa Rosemary Fazzolari
GenderFemale
SpecialityPsychiatry & Neurology - Psychiatry
Location5674 Stoneridge Dr, Pleasanton, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679793269
  • Provider Enumeration Date: 04/26/2007
  • Last Update Date: 02/11/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3678556339
  • Enrollment ID: I20040611001296

Medical Identifiers

Medical identifiers for Lisa Rosemary Fazzolari such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679793269NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 20A8371 (California)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. Lisa Rosemary Fazzolari allows following entities to bill medicare on her behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710

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. Lisa Rosemary Fazzolari 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
Lisa Rosemary Fazzolari, DO
5674 Stoneridge Dr, Suite 116,
Pleasanton, CA 94588-8500

Ph: (925) 520-0005
Lisa Rosemary Fazzolari, DO
5674 Stoneridge Dr, Suite 116,
Pleasanton, CA 94588-8500

Ph: (925) 520-0005

Reviews and Comments


Psychiatry & Neurology Doctors in Pleasanton, CA

Ramineni R. Rao, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 7601 Stoneridge Dr, Pleasanton, CA 94588
Phone: 925-847-5000    
Dr. Rebecca L. Hirsch, MD
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 3825 Hopyard Rd, Suite 140, Pleasanton, CA 94588
Phone: 925-847-5051    
Sukanya Pillai Venkatachalam, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 5924 Stoneridge Dr, Suite 210, Pleasanton, CA 94588
Phone: 925-944-1733    Fax: 925-223-6625
David Matthew Finkelstein, M.D.
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 5776 Stoneridge Mall Rd Ste 300, Pleasanton, CA 94588
Phone: 925-556-6274    Fax: 925-556-0485
Dr. Man Kong Leung, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 4466 Black Ave Ste A, Pleasanton, CA 94566
Phone: 925-600-8220    Fax: 925-600-8221
Mudassir S Ali, M.D.
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 5674 Stoneridge Dr Ste 116, Pleasanton, CA 94588
Phone: 925-463-5674    Fax: 925-463-5675
Dr. Juan A De Hoyos, MD
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 5776 Stoneridge Mall Rd Ste 300, Pleasanton, CA 94588
Phone: 925-556-6274    Fax: 925-556-0485

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.