Tate Fazio, CRNA is a
Nurse Anesthetist, Certified Registered based in Deridder, Louisiana. Tate Fazio is licensed to practice in Louisiana (license number 234088) and his current practice location is
600 S Pine St, Deridder, Louisiana. He can be reached at his office (for appointments etc.) via phone at
(337) 401-5253.
NPI number for Tate Fazio is 1295505519 and his current mailing address is 1009 Sherry Ln, Deridder, Louisiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1295505519.
Provider's Profile
Full Name | Tate Fazio |
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Gender | Male |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 600 S Pine St, Deridder, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1295505519
- Provider Enumeration Date: 01/08/2024
- Last Update Date: 01/08/2024
Medical Identifiers
Medical identifiers for Tate Fazio such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295505519 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 234088 (Louisiana) | Primary |
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. Tate Fazio is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Tate Fazio, CRNA 1009 Sherry Ln, Deridder, LA 70634-8976 Ph: (337) 401-5253 | Tate Fazio, CRNA 600 S Pine St, Deridder, LA 70634-4942 Ph: (337) 401-5253 |
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