Carol Burzon Galicia, PA in Fort Wayne, IN - Medicare Physician Assistant

Carol Burzon Galicia, PA is a medicare enrolled "Physician Assistant" in Fort Wayne, Indiana. Her current practice location is 3919 W Jefferson Blvd Ste 2, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 436-7722.

Carol Burzon Galicia is licensed to practice in Indiana (license number 10004703A) 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 1609686112.

Contact Information

	Carol Burzon Galicia, PA
	3919 W Jefferson Blvd Ste 2, Fort Wayne, IN 46804-6811
	(260) 436-7722
	(260) 459-0012

Map and Direction

Provider's Profile

Full Name	Carol Burzon Galicia
Gender	Female
Speciality	Physician Assistant
Location	3919 W Jefferson Blvd Ste 2, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609686112
Provider Enumeration Date: 01/08/2025
Last Update Date: 01/08/2025

Medicare PECOS Information:

PECOS PAC ID: 2264960301
Enrollment ID: I20250116002631

Medical Identifiers

Medical identifiers for Carol Burzon Galicia such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609686112	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	10004703A (Indiana)	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. Carol Burzon Galicia 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
Carol Burzon Galicia, PA 3919 W Jefferson Blvd Ste 2, Fort Wayne, IN 46804-6811 Ph: (260) 436-7722	Carol Burzon Galicia, PA 3919 W Jefferson Blvd Ste 2, Fort Wayne, IN 46804-6811 Ph: (260) 436-7722

Reviews and Comments

Physician Assistant Nurses in Fort Wayne, IN

Macy Marie Bradbury, Physician Assistant Medicare: Medicare Enrolled Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-469-6610 Fax: 260-969-3065
Abigail Mckensey Gann, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 5050 N Clinton St, Fort Wayne, IN 46825 Phone: 260-484-8551 Fax: 260-482-5060
Miss Jacqueline Langer, Physician Assistant Medicare: Medicare Enrolled Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-435-7001
Mr. Christopher A Fegley, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 102, Fort Wayne, IN 46804 Phone: 260-458-3555 Fax: 260-458-3530
Ms. Debra Lammers, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-469-6610 Fax: 260-969-3065
Ms. Kari M Rasmussen, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2200 Randallia Dr, Fort Wayne, IN 46805 Phone: 260-373-4000
Mr. Thomas G Edwards, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2200 Randallia Dr, Fort Wayne, IN 46805 Phone: 260-373-4000 Fax: 260-482-4442

Carol Burzon Galicia, PA - Medicare Physician Assistant in Fort Wayne, IN