Miss Gina Fasolo, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Staten Island, NY

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Miss Gina Fasolo, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Staten Island, New York. She graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice North Shore - Lij Anesthesiology, Pc, Physician Affiliate Group Of New York Pc, Sheridan Healthcorp Inc and her current practice location is 355 Bard Ave, Staten Island, New York. You can reach out to her office (for appointments etc.) via phone at (718) 818-1234.

Miss Gina Fasolo is licensed to practice in Florida (license number 11007198) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1730650698.

Contact Information

Miss Gina Fasolo, CRNA
355 Bard Ave,
Staten Island, NY 10310-1699
(718) 818-1234
Not Available

Map and Direction




Provider's Profile

Full NameMiss Gina Fasolo
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience7 Years
Location355 Bard Ave, Staten Island, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Miss Gina Fasolo graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1730650698
  • Provider Enumeration Date: 12/17/2018
  • Last Update Date: 04/10/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8123368594
  • Enrollment ID: I20190321000950

Medical Identifiers

Medical identifiers for Miss Gina Fasolo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730650698NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 647022 (New York)Secondary
367500000XNurse Anesthetist, Certified Registered 11007198 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Broward Health Medical CenterFort lauderdale, FLHospital
Lenox Hill HospitalNew york, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Shore - Lij Anesthesiology, Pc1153602453937
Physician Affiliate Group Of New York Pc46880988331044
Sheridan Healthcorp Inc3173429693849

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. Miss Gina Fasolo allows following entities to bill medicare on her behalf.
Entity NameDowntown Bronx Medical Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689618407
PECOS PAC ID: 9638082746
Enrollment ID: O20031106000016
Entity NameU Of R Anesthesiology Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609806488
PECOS PAC ID: 3476451105
Enrollment ID: O20031219000433
Entity NameNorth American Partners In Anesthesia Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649264706
PECOS PAC ID: 7719885771
Enrollment ID: O20040108000176
Entity NameAmerican Anesthesiology Of New York, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114973724
PECOS PAC ID: 9537050968
Enrollment ID: O20040323001912
Entity NameUpstate Anesthesia Services, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629272141
PECOS PAC ID: 0840383857
Enrollment ID: O20070907000237
Entity NameNorth Shore - Lij Anesthesiology, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417401266
PECOS PAC ID: 1153602453
Enrollment ID: O20161228001498
Entity NamePhysician Affiliate Group Of New York Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013375526
PECOS PAC ID: 4688098833
Enrollment ID: O20200721001270
Entity NameCenturion Midtown Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750087854
PECOS PAC ID: 2567804669
Enrollment ID: O20240521002273

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. Miss Gina Fasolo 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 AddressPractice Location Address
Miss Gina Fasolo, CRNA
73 Linden Ave,
Elmwood Park, NJ 07407-2248

Ph: (201) 615-6601		Miss Gina Fasolo, CRNA
355 Bard Ave,
Staten Island, NY 10310-1699

Ph: (718) 818-1234

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Staten Island, NY

Mr. Ishu Kumar,
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Mrs. Samantha Paige Dilandro,
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Practice Location: 475 Seaview Ave, Staten Island, NY 10305
Phone: 718-226-9000    
Edjona Groysman,
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Practice Location: 130 Stroud Ave, Staten Island, NY 10312
Phone: 347-215-2015    
Lisa Jean Pierre,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 475 Seaview Ave, Staten Island, NY 10305
Phone: 718-226-9000    
Tomcy Varghese, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 355 Bard Ave, Staten Island, NY 10310
Phone: 718-818-1234    
Cheryl Clements, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 355 Bard Ave, Staten Island, NY 10310
Phone: 718-818-1234    
Shehzad Ahmed,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 355 Bard Ave, Staten Island, NY 10310
Phone: 718-818-1234    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.