Tate Fazio, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Deridder, LA

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Tate Fazio, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Deridder, Louisiana. He graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Youngs Professional Services Llc and his current practice location is 600 S Pine St, Deridder, Louisiana. You can reach out to his office (for appointments etc.) via phone at (337) 401-5253.

Tate Fazio is licensed to practice in Louisiana (license number 234088) 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 1295505519.

Contact Information

Tate Fazio, CRNA
600 S Pine St,
Deridder, LA 70634-4942
(337) 401-5253
Not Available

Map and Direction




Provider's Profile

Full NameTate Fazio
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience3 Years
Location600 S Pine St, Deridder, Louisiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tate Fazio graduated from nursing school in 2023
  NPI Data:
  • NPI Number: 1295505519
  • Provider Enumeration Date: 01/08/2024
  • Last Update Date: 01/08/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1557708849
  • Enrollment ID: I20240321003937

Medical Identifiers

Medical identifiers for Tate Fazio such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295505519NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 234088 (Louisiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Beauregard Memorial HospitalDeridder, LAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Youngs Professional Services Llc2163524992218

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. Tate Fazio allows following entities to bill medicare on his behalf.
Entity NameYoungs Professional Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922178599
PECOS PAC ID: 2163524992
Enrollment ID: O20070226000608

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. Tate 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 AddressPractice Location Address
Tate Fazio, CRNA
1009 Sherry Ln,
Deridder, LA 70634-8976

Ph: (337) 401-5253		Tate Fazio, CRNA
600 S Pine St,
Deridder, LA 70634-4942

Ph: (337) 401-5253

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Deridder, LA

Thomas T Franks, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 600 South Pine Street, Deridder, LA 70634
Phone: 337-462-7181    Fax: 337-462-7435
Mr. Robert C Rushford, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 600 South Pine Street, Deridder, LA 70634
Phone: 337-462-7100    

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.