Gabrielle Domenica Fazio, FNP-BC - Medicare Nurse Practitioner in Clarkston, MI

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Gabrielle Domenica Fazio, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Clarkston, Michigan. Her current practice location is 5701 Bow Pointe Dr Ste 120, Clarkston, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 922-6880.

Gabrielle Domenica Fazio is licensed to practice in Michigan (license number 4704326001) 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 1104520360.

Contact Information

Gabrielle Domenica Fazio, FNP-BC
5701 Bow Pointe Dr Ste 120,
Clarkston, MI 48346-3199
(248) 922-6880
Not Available

Map and Direction




Provider's Profile

Full NameGabrielle Domenica Fazio
GenderFemale
SpecialityNurse Practitioner - Family
Location5701 Bow Pointe Dr Ste 120, Clarkston, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104520360
  • Provider Enumeration Date: 03/29/2023
  • Last Update Date: 04/09/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9931569795
  • Enrollment ID: I20230712002893

Medical Identifiers

Medical identifiers for Gabrielle Domenica Fazio such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104520360NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 4704326001 (Michigan)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. Gabrielle Domenica Fazio allows following entities to bill medicare on her behalf.
Entity NameMclaren Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346396066
PECOS PAC ID: 3971416082
Enrollment ID: O20031106000025
Entity NamePremier Medical Clinics Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740434851
PECOS PAC ID: 0941340665
Enrollment ID: O20091210000462

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. Gabrielle Domenica 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
Gabrielle Domenica Fazio, FNP-BC
5701 Bow Pointe Dr Ste 120,
Clarkston, MI 48346-3199

Ph: (248) 922-6880		Gabrielle Domenica Fazio, FNP-BC
5701 Bow Pointe Dr Ste 120,
Clarkston, MI 48346-3199

Ph: (248) 922-6880

Reviews and Comments


Nurse Practitioner Nurses in Clarkston, MI

Mrs. Susan Louise Clark, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5701 Bow Pointe Dr, Suite 225, Clarkston, MI 48346
Phone: 248-384-8300    Fax: 248-384-8309
Bradley David Winter, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 6549 Town Center Dr Ste A, Clarkston, MI 48346
Phone: 800-395-3223    
Kimberly Marie Visintine, DNP, APRN, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 6315 Crab Apple St, Clarkston, MI 48346
Phone: 248-207-0206    
Suzanne Marie Lugger, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5028 Ridge Trl S, Clarkston, MI 48348
Phone: 248-568-7189    
Cindy Kay Fulton,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 7013 Oakhurst Ridge Rd, Clarkston, MI 48348
Phone: 989-670-9510    
Daniel Joseph Dean, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 7300 Dixie Hwy Ste 1000, Clarkston, MI 48346
Phone: 517-882-3732    Fax: 517-882-3633

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.