Madison Fazzolare, PA-C is a
Physician Assistant based in Prospect Hill, North Carolina. Madison Fazzolare is licensed to practice in North Carolina (license number 0010-14607) and her current practice location is
322 Main St, Prospect Hill, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(336) 562-3311.
NPI number for Madison Fazzolare is 1073332821 and her current mailing address is 322 Main St, Prospect Hill, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073332821.
Provider's Profile
Full Name | Madison Fazzolare |
---|
Gender | Female |
---|
Speciality | Physician Assistant |
---|
Location | 322 Main St, Prospect Hill, North Carolina |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1073332821
- Provider Enumeration Date: 10/08/2024
- Last Update Date: 11/08/2024
Medical Identifiers
Medical identifiers for Madison Fazzolare such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073332821 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 0010-14607 (North Carolina) | Primary |
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. Madison Fazzolare is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Madison Fazzolare, PA-C 322 Main St, Prospect Hill, NC 27314-9438 Ph: () - | Madison Fazzolare, PA-C 322 Main St, Prospect Hill, NC 27314-9438 Ph: (336) 562-3311 |
Reviews and Comments