Charise Shively Fashho, MD in Lafayette, LA - Medicare Obstetrics & Gynecology

Charise Shively Fashho, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Lafayette, Louisiana. Her current practice location is 4600 Ambassador Caffery Pkwy, Lafayette, Louisiana. You can reach out to her office (for appointments etc.) via phone at (337) 521-9100.

Charise Shively Fashho is licensed to practice in Louisiana (license number 206884) 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 1376800987.

Contact Information

	Charise Shively Fashho, MD
	4600 Ambassador Caffery Pkwy, Lafayette, LA 70508-6902
	(337) 521-9100
	(337) 470-2019

Map and Direction

Physician's Profile

Full Name	Charise Shively Fashho
Gender	Female
Speciality	Obstetrics & Gynecology
Location	4600 Ambassador Caffery Pkwy, Lafayette, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376800987
Provider Enumeration Date: 04/19/2012
Last Update Date: 07/07/2025

Medicare PECOS Information:

PECOS PAC ID: 9436471224
Enrollment ID: I20160823002662

Medical Identifiers

Medical identifiers for Charise Shively Fashho such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376800987	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	48824 (Kentucky)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(Louisiana)	Secondary
207V00000X	Obstetrics & Gynecology	206884 (Louisiana)	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. Charise Shively Fashho allows following entities to bill medicare on her behalf.

Entity Name	Community Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306983762 PECOS PAC ID: 7012811284 Enrollment ID: O20031120000656

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. Charise Shively Fashho 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 Address	Practice Location Address
Charise Shively Fashho, MD 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (337) 521-9100	Charise Shively Fashho, MD 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508-6902 Ph: (337) 521-9100

Reviews and Comments

Obstetrics & Gynecology Doctors in Lafayette, LA

Monique Michelle Monteilh, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4640 Ambassador Caffery Pkwy, Lafayette, LA 70508 Phone: 337-984-1050 Fax: 337-984-8776
Mika Marlaine King, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4640 Ambassador Caffery Pkwy, Lafayette, LA 70508 Phone: 337-984-1050 Fax: 337-984-8776
Francis J Cardinale, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508 Phone: 337-521-9100 Fax: 337-470-2019
Dr. Virginia S Singleton-alfred, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508 Phone: 337-521-9100 Fax: 337-470-2019
Mr. Charles E. Padgett, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1211 Coolidge Street, Suite 405, Lafayette, LA 70503 Phone: 337-233-7524 Fax: 337-233-7567
Perry Scott Barrilleaux, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4630 Ambassador Caffery Pkwy, Suite 204, Lafayette, LA 70508 Phone: 337-989-9826
John Michael Storment, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 206 E Farrel Road, Lafayette, LA 70508 Phone: 337-989-8795 Fax: 337-989-8766

Charise Shively Fashho, MD - Medicare Obstetrics & Gynecology in Lafayette, LA