Daniel Louis Fazzino, PA-C is a medicare enrolled "Physician Assistant - Medical" in Woodbury, Connecticut. He went to Mercer University School Of Medicine and graduated in 2018 and has 6 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Cardiovascular Consultants Medical Group and his current practice location is
76 Barnhill Rd, Woodbury, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(203) 217-1746.
Daniel Louis Fazzino is licensed to practice in California (license number PA55814) 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 1013496892.
Provider's Profile
Full Name | Daniel Louis Fazzino |
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Gender | Male |
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Speciality | Physician Assistant |
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Experience | 6 Years |
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Location | 76 Barnhill Rd, Woodbury, Connecticut |
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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. |
Medical Education and Training:
- Daniel Louis Fazzino attended and graduated from Mercer University School Of Medicine in 2018
NPI Data:
- NPI Number: 1013496892
- Provider Enumeration Date: 08/12/2018
- Last Update Date: 08/12/2018
Medicare PECOS Information:
- PECOS PAC ID: 8527303544
- Enrollment ID: I20181220000129
Medical Identifiers
Medical identifiers for Daniel Louis Fazzino such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013496892 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | PA55814 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Cardiovascular Consultants Medical Group | 5991786105 | 14 |
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. Daniel Louis Fazzino 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 |
Daniel Louis Fazzino, PA-C 76 Barnhill Rd, Woodbury, CT 06798-2219 Ph: (203) 217-1746 | Daniel Louis Fazzino, PA-C 76 Barnhill Rd, Woodbury, CT 06798-2219 Ph: (203) 217-1746 |
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