Corey Richard Fazio, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Clyde, Ohio. He went to Ohio University, College Of Osteopathic Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Northern Ohio Medical Specialists, Llc and his current practice location is
1076 W Mcpherson Hwy, Clyde, Ohio. You can reach out to his office (for appointments etc.) via phone at
(419) 547-0216.
Corey Richard Fazio is licensed to practice in Ohio (license number 34009034) 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 1285832279.
Physician's Profile
| Full Name | Corey Richard Fazio |
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| Gender | Male |
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| Speciality | Obstetrics/gynecology |
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| Experience | 21 Years |
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| Location | 1076 W Mcpherson Hwy, Clyde, Ohio |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Corey Richard Fazio attended and graduated from Ohio University, College Of Osteopathic Medicine in 2003
NPI Data:
- NPI Number: 1285832279
- Provider Enumeration Date: 07/11/2007
- Last Update Date: 11/19/2008
Medicare PECOS Information:
- PECOS PAC ID: 6507926094
- Enrollment ID: I20081113000230
Medical Identifiers
Medical identifiers for Corey Richard Fazio such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285832279 | NPI | - | NPPES |
| 2765315 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 34009034 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Northern Ohio Medical Specialists, Llc | 2769386192 | 293 |
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. Corey Richard Fazio allows following entities to bill medicare on his behalf.
| Entity Name | Northern Ohio Medical Specialists, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225085855
PECOS PAC ID: 2769386192
Enrollment ID: O20031126000214 |
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| Entity Name | Fisher-titus Medical Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467636399
PECOS PAC ID: 6507940566
Enrollment ID: O20080228000695 |
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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. Corey Richard Fazio 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 |
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Corey Richard Fazio, DO
1400 W Main St, Building 1 Suite A,
Bellevue, OH 44811-9088
Ph: (419) 483-2494 | Corey Richard Fazio, DO
1076 W Mcpherson Hwy,
Clyde, OH 43410-1133
Ph: (419) 547-0216 |
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