Nicole Alexandra Fazekas-woolwine, DO is a medicare enrolled "Pediatrics" physician in Galax, Virginia. She went to Edward Via Col Of Osteo Medicine-virginia Campus and graduated in 2022 and has 4 years of diverse experience with area of expertise as Pediatric Medicine. Her current practice location is
606 E Stuart Dr, Galax, Virginia. You can reach out to her office (for appointments etc.) via phone at
(276) 236-8166.
Nicole Alexandra Fazekas-woolwine is licensed to practice in Virginia (license number 0102209294) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1437809316.
Physician's Profile
| Full Name | Nicole Alexandra Fazekas-woolwine |
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| Gender | Female |
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| Speciality | Pediatric Medicine |
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| Experience | 4 Years |
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| Location | 606 E Stuart Dr, Galax, Virginia |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Nicole Alexandra Fazekas-woolwine attended and graduated from Edward Via Col Of Osteo Medicine-virginia Campus in 2022
NPI Data:
- NPI Number: 1437809316
- Provider Enumeration Date: 03/24/2022
- Last Update Date: 10/10/2025
Medicare PECOS Information:
- PECOS PAC ID: 8729587605
- Enrollment ID: I20250818002632
Medical Identifiers
Medical identifiers for Nicole Alexandra Fazekas-woolwine such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1437809316 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208000000X | Pediatrics | 0102209294 (Virginia) | 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. Nicole Alexandra Fazekas-woolwine 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 |
Nicole Alexandra Fazekas-woolwine, DO 606 E Stuart Dr, Galax, VA 24333-2317 Ph: (276) 236-8166 | Nicole Alexandra Fazekas-woolwine, DO 606 E Stuart Dr, Galax, VA 24333-2317 Ph: (276) 236-8166 |
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