Kathryn Fazio, PT is a medicare enrolled "Physical Therapist" provider in Universal City, Texas. Her current practice location is
11471 E Loop 1604 N Ste 101, Universal City, Texas. You can reach out to her office (for appointments etc.) via phone at
(210) 428-7845.
Kathryn Fazio is licensed to practice in New York (license number 036747) 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 1275966343.
Healthcare Provider's Profile
Full Name | Kathryn Fazio |
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Gender | Female |
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Speciality | Physical Therapist |
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Location | 11471 E Loop 1604 N Ste 101, Universal City, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1275966343
- Provider Enumeration Date: 08/13/2013
- Last Update Date: 07/17/2020
Medicare PECOS Information:
- PECOS PAC ID: 2860621729
- Enrollment ID: I20140219000380
Medical Identifiers
Medical identifiers for Kathryn Fazio such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275966343 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 036747 (New York) | 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. Kathryn Fazio allows following entities to bill medicare on her behalf.
Provider Name | Physical Therapy At Oakdale |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1073554788 PECOS PAC ID: 2466425889 Enrollment ID: O20040814000119 |
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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. Kathryn 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 Address | Practice Location Address |
Kathryn Fazio, PT 11471 E Loop 1604 N Ste 101, Universal City, TX 78148-3960 Ph: (210) 428-7845 | Kathryn Fazio, PT 11471 E Loop 1604 N Ste 101, Universal City, TX 78148-3960 Ph: (210) 428-7845 |
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