Elise Brinson Fazio, DO in Ogden, UT - Medicare Family Practice

Elise Brinson Fazio, DO is a medicare enrolled "Family Medicine" physician in Ogden, Utah. She went to Western University Of Health Sciences College Of Dental Med and graduated in 2015 and has 9 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Intermountain Healthcare Services, Inc and her current practice location is 4403 Harrison Blvd Ste 3630, Ogden, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 387-7900.

Elise Brinson Fazio is licensed to practice in Utah (license number 11176326-1204) 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 1710366299.

Contact Information

	Elise Brinson Fazio, DO
	4403 Harrison Blvd Ste 3630, Ogden, UT 84403-3287
	(801) 387-7900
	Not Available

Map and Direction

Physician's Profile

Full Name	Elise Brinson Fazio
Gender	Female
Speciality	Family Practice
Experience	9 Years
Location	4403 Harrison Blvd Ste 3630, Ogden, Utah
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Elise Brinson Fazio attended and graduated from Western University Of Health Sciences College Of Dental Med in 2015

NPI Data:

NPI Number: 1710366299
Provider Enumeration Date: 05/29/2015
Last Update Date: 11/14/2019

Medicare PECOS Information:

PECOS PAC ID: 0042523102
Enrollment ID: I20191212001097

Medical Identifiers

Medical identifiers for Elise Brinson Fazio such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710366299	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	11176326-1204 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Intermountain Homecare Hospice Salt Lake	South jordan, UT	Hospice
Mckay Dee Hospital	Ogden, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Intermountain Healthcare Services, Inc	1850209420	3228

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. Elise Brinson Fazio allows following entities to bill medicare on her behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303

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. Elise Brinson 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 Address	Practice Location Address
Elise Brinson Fazio, DO Po Box 27128, Salt Lake City, UT 84127-0128 Ph: () -	Elise Brinson Fazio, DO 4403 Harrison Blvd Ste 3630, Ogden, UT 84403-3287 Ph: (801) 387-7900

Reviews and Comments

Family Medicine Doctors in Ogden, UT

Scott Allen Andelin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4403 Harrison Blvd, Ste A-700, Ogden, UT 84403 Phone: 801-387-5300
John M Hemmersmeier, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5740 Crestwood Dr, Ogden, UT 84405 Phone: 801-479-7771 Fax: 801-479-7795
Kristine M Oates, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4403 Harrison Blvd, Ste. A700, Ogden, UT 84403 Phone: 801-387-5300 Fax: 801-387-5335
Benjamin Zachary Larsen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4403 Harrison Blvd Ste 700a, Ogden, UT 84403 Phone: 801-387-5300 Fax: 801-387-5333
Robert L Adams, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1355 Hinkley Dr, Ogden, UT 84401 Phone: 801-387-6050
Mary Ellen Mason, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4650 Harrison Blvd, Ogden, UT 84403 Phone: 801-475-3010 Fax: 801-475-3001
Brett Wayne Martindale, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4700 Harrison Blvd, Ogden, UT 84403 Phone: 801-475-3300 Fax: 801-475-3301

Elise Brinson Fazio, DO - Medicare Family Practice in Ogden, UT