Fabienne Bazile, NP is a medicare enrolled "Nurse Practitioner - Family" in Pocono Summit, Pennsylvania. Her current practice location is
5139 Ash Dr, Pocono Summit, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(973) 200-3568.
Fabienne Bazile is licensed to practice in Pennsylvania (license number SP021793) 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 1467081042.
Provider's Profile
| Full Name | Fabienne Bazile |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 5139 Ash Dr, Pocono Summit, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1467081042
- Provider Enumeration Date: 04/05/2020
- Last Update Date: 04/05/2020
Medicare PECOS Information:
- PECOS PAC ID: 0446645709
- Enrollment ID: I20220323001429
Medical Identifiers
Medical identifiers for Fabienne Bazile such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1467081042 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | SP021793 (Pennsylvania) | 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. Fabienne Bazile allows following entities to bill medicare on her behalf.
| Entity Name | Pursuecare Connecticut Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003443185
PECOS PAC ID: 8224469606
Enrollment ID: O20200616001212 |
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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. Fabienne Bazile 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 |
|---|
Fabienne Bazile, NP
5139 Ash Dr,
Pocono Summit, PA 18346-7770
Ph: (973) 200-3568 | Fabienne Bazile, NP
5139 Ash Dr,
Pocono Summit, PA 18346-7770
Ph: (973) 200-3568 |
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