Tracy King Fasolino, NP in Greenville, SC - Medicare Nurse Practitioner

Tracy King Fasolino, NP is a medicare enrolled "Nurse Practitioner" in Greenville, South Carolina. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Bon Secours Medical Group Greenville Specialty Care Llc and her current practice location is 317 Saint Francis Dr, Greenville, South Carolina. You can reach out to her office (for appointments etc.) via phone at (864) 255-1304.

Tracy King Fasolino is licensed to practice in South Carolina (license number F1070) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1427006170.

Contact Information

	Tracy King Fasolino, NP
	317 Saint Francis Dr, Greenville, SC 29601-3965
	(864) 255-1304
	Not Available

Map and Direction

Provider's Profile

Full Name	Tracy King Fasolino
Gender	Female
Speciality	Nurse Practitioner
Experience	15 Years
Location	317 Saint Francis Dr, Greenville, South Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tracy King Fasolino graduated from nursing school in 2009

NPI Data:

NPI Number: 1427006170
Provider Enumeration Date: 05/05/2006
Last Update Date: 09/24/2014

Medicare PECOS Information:

PECOS PAC ID: 9133190911
Enrollment ID: I20040804001266

Medical Identifiers

Medical identifiers for Tracy King Fasolino such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427006170	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	F1070 (South Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Francis-downtown	Greenville, SC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Bon Secours Medical Group Greenville Specialty Care Llc	1850779976	237

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. Tracy King Fasolino allows following entities to bill medicare on her behalf.

Entity Name	St Francis Physician Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457057622 PECOS PAC ID: 6608826821 Enrollment ID: O20050126000259

Entity Name	Bon Secours Ambulatory Services - St. Francis, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124495643 PECOS PAC ID: 0840590931 Enrollment ID: O20151120002171

Entity Name	Bon Secours Medical Group Greenville Specialty Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821679580 PECOS PAC ID: 1850779976 Enrollment ID: O20220602000070

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. Tracy King Fasolino 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
Tracy King Fasolino, NP Po Box 25039, Greenville, SC 29616-0039 Ph: (864) 605-3720	Tracy King Fasolino, NP 317 Saint Francis Dr, Greenville, SC 29601-3965 Ph: (864) 255-1304

Reviews and Comments

Nurse Practitioner Nurses in Greenville, SC

Jennifer Hardy Singletary, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 525 Verdae Blvd Ste 150, Greenville, SC 29607 Phone: 864-720-1900 Fax: 864-720-1901
Tracey Ann Hoxie, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3807 White Horse Rd Ste Dande, Greenville, SC 29611 Phone: 864-236-5688
Matthew Keaton, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 357 Woodruff Rd, Greenville, SC 29607 Phone: 864-522-8350
Jason Collins, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 701 Grove Rd Fl 1, Greenville, SC 29605 Phone: 864-455-7000
Mary Katelyn Hodges, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2210 Laurens Rd, Greenville, SC 29607 Phone: 864-288-8280
Mr. Matthew Fischer, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 255 Enterprise Blvd Ste 101, Greenville, SC 29615 Phone: 864-454-8120 Fax: 864-454-8125
Rebecca Dawn Leicht, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1809 Wade Hampton Blvd Ste 120, Greenville, SC 29609 Phone: 864-522-5000 Fax: 864-241-9275

Tracy King Fasolino, NP - Medicare Nurse Practitioner in Greenville, SC