Fasa Family Wellness Pllc is a
Family Medicine based in Centralia, Washington. Fasa Family Wellness Pllc is licensed to practice in * (Not Available) (license number ) and their current practice location is
1220 W 1st St, Suite B, Centralia, Washington. It can be reached at their office (for appointments etc.) via phone at
(360) 736-4151.
NPI number for Fasa Family Wellness Pllc is 1679979769 and their current mailing address is Po Box 825159, Philadelphia, Pennsylvania. Fasa Family Wellness Pllc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1679979769.
Healthcare Provider's Profile
| Full Name | Fasa Family Wellness Pllc |
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| Type | Facility |
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| Speciality | Family Medicine |
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| Location | 1220 W 1st St, Centralia, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1679979769
- Provider Enumeration Date: 11/17/2014
- Last Update Date: 05/13/2025
Medical Identifiers
Medical identifiers for Fasa Family Wellness Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679979769 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | 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. Fasa Family Wellness Pllc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Fasa Family Wellness Pllc
Po Box 825159,
Philadelphia, PA 19182-5159
Ph: (360) 338-0004 | Fasa Family Wellness Pllc
1220 W 1st St, Suite B,
Centralia, WA 98531-3018
Ph: (360) 736-4151 |
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