Mary Theresa Fantazia, DNP - Nurse Anesthetist, Certified Registered in Fort Cavazos, TX

Mary Theresa Fantazia, DNP is a Nurse Anesthetist, Certified Registered based in Fort Cavazos, Texas. Mary Theresa Fantazia is licensed to practice in Texas (license number 1170828) and her current practice location is 590 Medical Center Road, Fort Cavazos, Texas. She can be reached at her office (for appointments etc.) via phone at (254) 288-8000.

NPI number for Mary Theresa Fantazia is 1619704947 and her current mailing address is 2706 W Huisache Ave, San Antonio, Texas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619704947.

Contact Information

Mary Theresa Fantazia, DNP
590 Medical Center Road,
Fort Cavazos, TX 76544-5060
(254) 288-8000
Not Available

Map and Direction




Provider's Profile

Full NameMary Theresa Fantazia
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location590 Medical Center Road, Fort Cavazos, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1619704947
  • Provider Enumeration Date: 09/19/2024
  • Last Update Date: 09/19/2024

Medical Identifiers

Medical identifiers for Mary Theresa Fantazia such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619704947NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 1170828 (Texas)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. Mary Theresa Fantazia 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 AddressPractice Location Address
Mary Theresa Fantazia, DNP
2706 W Huisache Ave,
San Antonio, TX 78228-5003

Ph: (260) 624-4757
Mary Theresa Fantazia, DNP
590 Medical Center Road,
Fort Cavazos, TX 76544-5060

Ph: (254) 288-8000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Fort Cavazos, TX

Ashley Alejandra Morris, APRN-CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 590 Medical Center Road, Fort Cavazos, TX 76544
Phone: 254-288-8000    
Peter Shellabarger, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 590 Medical Center Rd, Fort Cavazos, TX 76544
Phone: 423-802-1421    
Ricky L Gibson, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 590 Medical Center Road, Fort Cavazos, TX 76544
Phone: 254-288-8197    
Lasheika Banks, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 36065 Santa Fe Ave, Fort Cavazos, TX 76544
Phone: 254-288-8000    
Tina Williams, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 590 Medical Center Road, Fort Cavazos, TX 76544
Phone: 254-288-8197    
Adam Colby Frazier, DNP, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 590 Medical Center Rd, Fort Cavazos, TX 76544
Phone: 254-288-8000    

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.