Kayla Beth Fazio, DO - Medicare Family Practice in Orange Park, FL

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Kayla Beth Fazio, DO is a medicare enrolled "Family Medicine" physician in Orange Park, Florida. She went to West Virginia School Of Osteopathic Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Baptist Primary Care Inc and her current practice location is 769 Blanding Blvd Ste 7, Orange Park, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 458-4882.

Kayla Beth Fazio is licensed to practice in Florida (license number OS14284) 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 1376956219.

Contact Information

Kayla Beth Fazio, DO
769 Blanding Blvd Ste 7,
Orange Park, FL 32065-8700
(904) 458-4882
(904) 458-4899

Map and Direction




Physician's Profile

Full NameKayla Beth Fazio
GenderFemale
SpecialityFamily Practice
Experience10 Years
Location769 Blanding Blvd Ste 7, Orange Park, Florida
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:
  • Kayla Beth Fazio attended and graduated from West Virginia School Of Osteopathic Medicine in 2014
  NPI Data:
  • NPI Number: 1376956219
  • Provider Enumeration Date: 06/09/2014
  • Last Update Date: 11/20/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5092095539
  • Enrollment ID: I20171018000725

Medical Identifiers

Medical identifiers for Kayla Beth Fazio such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376956219NPI-NPPES
021374400MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine UO 4131 (Florida)Secondary
207Q00000XFamily Medicine OS14284 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baptist Health Medical Center - JacksonvilleJacksonville, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Baptist Primary Care Inc0648177733405

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. Kayla Beth Fazio allows following entities to bill medicare on her behalf.
Entity NameBaptist Primary Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508817529
PECOS PAC ID: 0648177733
Enrollment ID: O20031217000248
Entity NameUniversity Of Florida Jacksonville Physicians, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326208695
PECOS PAC ID: 9133025869
Enrollment ID: O20040204000616

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. Kayla Beth 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
Kayla Beth Fazio, DO
Po Box 45443,
Salt Lake City, UT 84145-0443

Ph: (904) 202-1032		Kayla Beth Fazio, DO
769 Blanding Blvd Ste 7,
Orange Park, FL 32065-8700

Ph: (904) 458-4882

Reviews and Comments


Family Medicine Doctors in Orange Park, FL

Larry Steven Garsha, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2858 Country Club Blvd, Orange Park, FL 32073
Phone: 904-579-4553    
Barbara Leigh Cruikshank, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2300 Park Ave Ste 200, Orange Park, FL 32073
Phone: 904-269-2900    Fax: 904-269-1140
Darby R Martin, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 440 Kingsley Ave, Orange Park, FL 32073
Phone: 904-264-9293    Fax: 904-390-7492
William V Choisser, M.D
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1409 Kingsley Ave, Ste 14a, Orange Park, FL 32073
Phone: 904-264-2297    Fax: 904-264-6266
Allison Dasta Butler, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1075 Oakleaf Plantation Pkwy, Suite #108, Orange Park, FL 32065
Phone: 904-282-4565    Fax: 904-282-4225
Dr. Abdul A Qazizada, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 865 Blanding Blvd, Orange Park, FL 32065
Phone: 904-276-1133    Fax: 904-276-1821
David Maynoldi, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1202 Kingsley Ave, Orange Park, FL 32073
Phone: 877-842-4020    Fax: 877-842-4020

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.