Madison Fazzolare, PA-C is a medicare enrolled "Physician Assistant" in Prospect Hill, North Carolina. Her current practice location is
322 Main St, Prospect Hill, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(336) 562-3311.
Madison Fazzolare is licensed to practice in North Carolina (license number 0010-14607) 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 1073332821.
Provider's Profile
Full Name | Madison Fazzolare |
---|
Gender | Female |
---|
Speciality | Physician Assistant |
---|
Location | 322 Main St, Prospect Hill, North Carolina |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1073332821
- Provider Enumeration Date: 10/08/2024
- Last Update Date: 11/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 5193254852
- Enrollment ID: I20250124000973
Medical Identifiers
Medical identifiers for Madison Fazzolare such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073332821 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 0010-14607 (North Carolina) | 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. Madison Fazzolare 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 |
Madison Fazzolare, PA-C 322 Main St, Prospect Hill, NC 27314-9438 Ph: () - | Madison Fazzolare, PA-C 322 Main St, Prospect Hill, NC 27314-9438 Ph: (336) 562-3311 |
Reviews and Comments