Lisa Rosemary Fazzolari, DO in Pleasanton, CA - Medicare Psychiatry & Neurology

Lisa Rosemary Fazzolari, DO is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Pleasanton, California. Her current practice location is 5674 Stoneridge Dr, Suite 116, Pleasanton, California. You can reach out to her office (for appointments etc.) via phone at (925) 520-0005.

Lisa Rosemary Fazzolari is licensed to practice in California (license number 20A8371) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1679793269.

Contact Information

	Lisa Rosemary Fazzolari, DO
	5674 Stoneridge Dr, Suite 116, Pleasanton, CA 94588-8500
	(925) 520-0005
	Not Available

Map and Direction

Physician's Profile

Full Name	Lisa Rosemary Fazzolari
Gender	Female
Speciality	Psychiatry & Neurology - Psychiatry
Location	5674 Stoneridge Dr, Pleasanton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679793269
Provider Enumeration Date: 04/26/2007
Last Update Date: 02/11/2022

Medicare PECOS Information:

PECOS PAC ID: 3678556339
Enrollment ID: I20040611001296

Medical Identifiers

Medical identifiers for Lisa Rosemary Fazzolari such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679793269	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	20A8371 (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. Lisa Rosemary Fazzolari allows following entities to bill medicare on her 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. Lisa Rosemary Fazzolari 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
Lisa Rosemary Fazzolari, DO 5674 Stoneridge Dr, Suite 116, Pleasanton, CA 94588-8500 Ph: (925) 520-0005	Lisa Rosemary Fazzolari, DO 5674 Stoneridge Dr, Suite 116, Pleasanton, CA 94588-8500 Ph: (925) 520-0005

Reviews and Comments

Psychiatry & Neurology Doctors in Pleasanton, CA

Ramineni R. Rao, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 7601 Stoneridge Dr, Pleasanton, CA 94588 Phone: 925-847-5000
Dr. Rebecca L. Hirsch, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3825 Hopyard Rd, Suite 140, Pleasanton, CA 94588 Phone: 925-847-5051
Sukanya Pillai Venkatachalam, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 5924 Stoneridge Dr, Suite 210, Pleasanton, CA 94588 Phone: 925-944-1733 Fax: 925-223-6625
David Matthew Finkelstein, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 5776 Stoneridge Mall Rd Ste 300, Pleasanton, CA 94588 Phone: 925-556-6274 Fax: 925-556-0485
Dr. Man Kong Leung, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4466 Black Ave Ste A, Pleasanton, CA 94566 Phone: 925-600-8220 Fax: 925-600-8221
Mudassir S Ali, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 5674 Stoneridge Dr Ste 116, Pleasanton, CA 94588 Phone: 925-463-5674 Fax: 925-463-5675
Dr. Juan A De Hoyos, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 5776 Stoneridge Mall Rd Ste 300, Pleasanton, CA 94588 Phone: 925-556-6274 Fax: 925-556-0485

Lisa Rosemary Fazzolari, DO - Medicare Psychiatry & Neurology in Pleasanton, CA