Keith A Fabisiak, MD - Medicare Pediatrics in Campbell, CA

Keith A Fabisiak, MD is a medicare enrolled "Pediatrics" physician in Campbell, California. His current practice location is 220 E Hacienda Ave, Campbell, California. You can reach out to his office (for appointments etc.) via phone at (408) 236-6400.

Keith A Fabisiak is licensed to practice in California (license number G71010) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1841377793.

Contact Information

Keith A Fabisiak, MD
220 E Hacienda Ave,
Campbell, CA 95008-6617
(408) 236-6400
Not Available

Map and Direction




Physician's Profile

Full NameKeith A Fabisiak
GenderMale
SpecialityPediatrics
Location220 E Hacienda Ave, Campbell, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1841377793
  • Provider Enumeration Date: 10/31/2006
  • Last Update Date: 12/13/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4385833391
  • Enrollment ID: I20110106000424

Medical Identifiers

Medical identifiers for Keith A Fabisiak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841377793NPI-NPPES
00G710100MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics G71010 (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. Keith A Fabisiak allows following entities to bill medicare on his 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. Keith A Fabisiak 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
Keith A Fabisiak, MD
1800 Harrison St Fl 7,
Oakland, CA 94612-3466

Ph: (510) 625-6262
Keith A Fabisiak, MD
220 E Hacienda Ave,
Campbell, CA 95008-6617

Ph: (408) 236-6400

Reviews and Comments


Pediatrics Doctors in Campbell, CA

Carol-lynn Barsky, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 220 E Hacienda Ave, Campbell, CA 95008
Phone: 408-236-6400    
Joseph Vincent Dicarlo, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3777 S Bascom Ave, Campbell, CA 95008
Phone: 408-558-3640    Fax: 408-558-3674
Dr. Diana Mohana Prasad, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 250 E Hacienda Ave Fl 1, Campbell, CA 95008
Phone: 408-871-9440    
Dr. Lynna Hwang Wang, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 220 E Hacienda Ave, Campbell, CA 95008
Phone: 408-871-6216    Fax: 408-871-6202

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.