Dr Walter S Fasolak, DO in Southern Pines, NC - Medicare Obstetrics/gynecology

Dr Walter S Fasolak, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Southern Pines, North Carolina. He went to Kansas City University Of Physicians And Surgeons and graduated in 1984 and has 40 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Mcpc-12 Llc, Mcpc-7 Llc and his current practice location is 145 Applecross Rd, Southern Pines Womens Health Center Pc, Southern Pines, North Carolina. You can reach out to his office (for appointments etc.) via phone at (910) 692-7928.

Dr Walter S Fasolak is licensed to practice in North Carolina (license number 39728) 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 1497716211.

Contact Information

	Dr Walter S Fasolak, DO
	145 Applecross Rd, Southern Pines Womens Health Center Pc, Southern Pines, NC 28387
	(910) 692-7928
	(910) 692-5962

Map and Direction

Physician's Profile

Full Name	Dr Walter S Fasolak
Gender	Male
Speciality	Obstetrics/gynecology
Experience	40 Years
Location	145 Applecross Rd, Southern Pines, North Carolina
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Walter S Fasolak attended and graduated from Kansas City University Of Physicians And Surgeons in 1984

NPI Data:

NPI Number: 1497716211
Provider Enumeration Date: 03/31/2006
Last Update Date: 02/25/2010

Medicare PECOS Information:

PECOS PAC ID: 1759339757
Enrollment ID: I20100430000706

Medical Identifiers

Medical identifiers for Dr Walter S Fasolak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497716211	NPI	-	NPPES
8931369	Medicaid	NC
Q39728	Medicaid	SC
31369	Other		BLUE CROSS BLUE SHIELD
9663436	Other		GHI
980000066	Other		MEDICARE RAILROAD
FH1000115	Other		FIRST CAROLINA CARE
42653	Other		MEDCOST

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	39728 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Firsthealth Moore Regional Hospital	Pinehurst, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mcpc-12 Llc	7416198890	15
Mcpc-7 Llc	9739341066	7

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. Dr Walter S Fasolak allows following entities to bill medicare on his behalf.

Entity Name	Mcpc-7 Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881968709 PECOS PAC ID: 9739341066 Enrollment ID: O20120503000387

Entity Name	Mcpc-12 Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306283080 PECOS PAC ID: 7416198890 Enrollment ID: O20130727000012

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. Dr Walter S Fasolak 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
Dr Walter S Fasolak, DO Po Box 749, Southern Pines Womens Health Center Pc, Southern Pines, NC 28388-0749 Ph: (910) 692-7928	Dr Walter S Fasolak, DO 145 Applecross Rd, Southern Pines Womens Health Center Pc, Southern Pines, NC 28387 Ph: (910) 692-7928

Reviews and Comments

Obstetrics & Gynecology Doctors in Southern Pines, NC

Dr. Sarah Danielle Bowen-pasfield, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 145 Applecross Rd, Southern Pines, NC 28387 Phone: 910-692-7928 Fax: 910-692-5962
Dr. Barry K Buchele, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 145 Applecross Rd, Southern Pines Womens Health Center Pc, Southern Pines, NC 28387 Phone: 910-692-7928 Fax: 910-692-5962
Dr. Kendall Reid Zmiewsky, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 145 Applecross Road, Southern Pines, NC 28387 Phone: 910-692-7928 Fax: 910-692-5962
Julia Malis, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 145 Applecross Road, Southern Pines, NC 28388 Phone: 910-692-7928
Dr. Michael John Sundborg, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 145 Applecross Rd, Southern Pines, NC 28388 Phone: 910-692-7928 Fax: 910-692-5962
Dr. Pamela G Kantorowski, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 145 Applecross Rd, Southern Pines Womens Health Center Pc, Southern Pines, NC 28387 Phone: 910-692-7928 Fax: 910-692-5962

Dr Walter S Fasolak, DO - Medicare Obstetrics/gynecology in Southern Pines, NC