Mr Fabio Kazuo Dantas Higuchi, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Bluffdale, Utah. He went to Georgetown University School Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Nph Anesthesia Of Utah Llc and his current practice location is
13974 S 2700 W, Bluffdale, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 403-7600.
Mr Fabio Kazuo Dantas Higuchi is licensed to practice in Virginia (license number 0024169858) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1740552843.
Provider's Profile
Full Name | Mr Fabio Kazuo Dantas Higuchi |
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Gender | Male |
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Speciality | Certified Registered Nurse Anesthetist (crna) |
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Experience | 13 Years |
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Location | 13974 S 2700 W, Bluffdale, Utah |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mr Fabio Kazuo Dantas Higuchi attended and graduated from Georgetown University School Of Medicine in 2011
NPI Data:
- NPI Number: 1740552843
- Provider Enumeration Date: 02/03/2012
- Last Update Date: 11/04/2021
Medicare PECOS Information:
- PECOS PAC ID: 1254593429
- Enrollment ID: I20160519001066
Medical Identifiers
Medical identifiers for Mr Fabio Kazuo Dantas Higuchi such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740552843 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 0001230559 (Virginia) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 0024169858 (Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Nph Anesthesia Of Utah Llc | 9537584313 | 94 |
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. Mr Fabio Kazuo Dantas Higuchi allows following entities to bill medicare on his behalf.
Entity Name | Brigham Anesthesia, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1710904800 PECOS PAC ID: 9335108299 Enrollment ID: O20041006000807 |
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Entity Name | Rocky Mountain Anesthesiology Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1487683215 PECOS PAC ID: 6305809492 Enrollment ID: O20041109001170 |
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Entity Name | University Of Utah Adult Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683 |
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Entity Name | Nph Anesthesia Of Utah Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1366077273 PECOS PAC ID: 9537584313 Enrollment ID: O20200811001268 |
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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. Mr Fabio Kazuo Dantas Higuchi 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 |
Mr Fabio Kazuo Dantas Higuchi, 13974 S 2700 W, Bluffdale, UT 84065-5403 Ph: (801) 403-7600 | Mr Fabio Kazuo Dantas Higuchi, 13974 S 2700 W, Bluffdale, UT 84065-5403 Ph: (801) 403-7600 |
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