Keith A Fabisiak, MD in Campbell, CA

Keith A Fabisiak, MD is a medicare enrolled "Pediatrics" physician in Campbell, California. His current practice location is 220 E Hacienda Ave, Campbell, California. You can reach out to his office (for appointments etc.) via phone at (408) 236-6400.

Keith A Fabisiak is licensed to practice in California (license number G71010) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1841377793.

Contact Information

	Keith A Fabisiak, MD
	220 E Hacienda Ave, Campbell, CA 95008-6617
	(408) 236-6400
	Not Available

Map and Direction

Physician's Profile

Full Name	Keith A Fabisiak
Gender	Male
Speciality	Pediatrics
Location	220 E Hacienda Ave, Campbell, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841377793
Provider Enumeration Date: 10/31/2006
Last Update Date: 12/13/2021

Medicare PECOS Information:

PECOS PAC ID: 4385833391
Enrollment ID: I20110106000424

Medical Identifiers

Medical identifiers for Keith A Fabisiak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841377793	NPI	-	NPPES
00G710100	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	G71010 (California)	Primary

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. Keith A Fabisiak allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Keith A Fabisiak 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
Keith A Fabisiak, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262	Keith A Fabisiak, MD 220 E Hacienda Ave, Campbell, CA 95008-6617 Ph: (408) 236-6400

Reviews and Comments

Pediatrics Doctors in Campbell, CA

Carol-lynn Barsky, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 220 E Hacienda Ave, Campbell, CA 95008 Phone: 408-236-6400
Joseph Vincent Dicarlo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3777 S Bascom Ave, Campbell, CA 95008 Phone: 408-558-3640 Fax: 408-558-3674
Dr. Diana Mohana Prasad, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 250 E Hacienda Ave Fl 1, Campbell, CA 95008 Phone: 408-871-9440
Dr. Lynna Hwang Wang, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 220 E Hacienda Ave, Campbell, CA 95008 Phone: 408-871-6216 Fax: 408-871-6202

Keith A Fabisiak, MD - Medicare Pediatrics in Campbell, CA