Benjamin Defazio, is a
Speech-language Pathologist based in Nutter Fort, West Virginia. Benjamin Defazio is licensed to practice in * (Not Available) (license number ) and his current practice location is
304 Pennsylvania Ave, Nutter Fort, West Virginia. He can be reached at his office (for appointments etc.) via phone at
(304) 933-3073.
NPI number for Benjamin Defazio is 1124429337 and his current mailing address is 304 Pennsylvania Ave, Nutter Fort, West Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1124429337.
Healthcare Provider's Profile
Full Name | Benjamin Defazio |
---|
Gender | Male |
---|
Speciality | Speech-language Pathologist |
---|
Location | 304 Pennsylvania Ave, Nutter Fort, West Virginia |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1124429337
- Provider Enumeration Date: 09/07/2014
- Last Update Date: 09/07/2014
Medical Identifiers
Medical identifiers for Benjamin Defazio such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124429337 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | (* (Not Available)) | 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. Benjamin Defazio 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 |
Benjamin Defazio, 304 Pennsylvania Ave, Nutter Fort, WV 26301-4520 Ph: () - | Benjamin Defazio, 304 Pennsylvania Ave, Nutter Fort, WV 26301-4520 Ph: (304) 933-3073 |
Reviews and Comments