John J Fazio, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Riverhead, New York. He graduated from nursing school in 1989 and has 37 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice North Shore - Lij Anesthesiology, Pc and his current practice location is
1 Heroes Way, Riverhead, New York. You can reach out to his office (for appointments etc.) via phone at
(631) 548-6000.
John J Fazio is licensed to practice in New York (license number 375601) 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 1356364251.
Provider's Profile
| Full Name | John J Fazio |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 37 Years |
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| Location | 1 Heroes Way, Riverhead, New York |
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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:
- John J Fazio graduated from nursing school in 1989
NPI Data:
- NPI Number: 1356364251
- Provider Enumeration Date: 07/25/2006
- Last Update Date: 01/27/2025
Medicare PECOS Information:
- PECOS PAC ID: 6709979826
- Enrollment ID: I20070906000280
Medical Identifiers
Medical identifiers for John J Fazio such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356364251 | NPI | - | NPPES |
| 1356364251 | Other | NY | MEDICARE RAILROAD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 375601 (New York) | Primary |
| 163WP0000X | Registered Nurse - Pain Management | 375601 (New York) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| North Shore - Lij Anesthesiology, Pc | 1153602453 | 937 |
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. John J Fazio allows following entities to bill medicare on his behalf.
| Entity Name | North Shore - Lij Anesthesiology, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417401266
PECOS PAC ID: 1153602453
Enrollment ID: O20161228001498 |
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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. John J 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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John J Fazio, CRNA
480 Bedford Rd Ste 4202,
Chappaqua, NY 10514-1716
Ph: () - | John J Fazio, CRNA
1 Heroes Way,
Riverhead, NY 11901-2054
Ph: (631) 548-6000 |
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