Nicholas Charles Fasano, MD - Medicare Diagnostic Radiology in Baltimore, MD

Nicholas Charles Fasano, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Baltimore, Maryland. He went to Perelman School Of Med At The University Of Pennsylvania and graduated in 2001 and has 23 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice University Of Maryland Diagnostic Radiology, Llc, University Of Maryland Diagnostic Imaging Specialists, P A and his current practice location is 22 S Greene St, Dept Of Radiology, Baltimore, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 328-3477.

Nicholas Charles Fasano is licensed to practice in Maryland (license number D0087818) 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 1013932292.

Contact Information

Nicholas Charles Fasano, MD
22 S Greene St, Dept Of Radiology,
Baltimore, MD 21201-1544
(410) 328-3477
Not Available



Physician's Profile

Full NameNicholas Charles Fasano
GenderMale
SpecialityDiagnostic Radiology
Experience23 Years
Location22 S Greene St, Dept Of Radiology, Baltimore, Maryland
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nicholas Charles Fasano attended and graduated from Perelman School Of Med At The University Of Pennsylvania in 2001
  NPI Data:
  • NPI Number: 1013932292
  • Provider Enumeration Date: 07/12/2006
  • Last Update Date: 10/28/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 9830194257
  • Enrollment ID: I20190806000534

Medical Identifiers

Medical identifiers for Nicholas Charles Fasano such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013932292NPI-NPPES
072163821MedicaidDC
1017198590001MedicaidPA
887303800MedicaidMD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology D0087818 (Maryland)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Umd Prince George's Hospital CtrCheverly, MDHospital
University Of Md Charles Regional Medical CenterLa plata, MDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Of Maryland Diagnostic Radiology, Llc034551324851
University Of Maryland Diagnostic Imaging Specialists, P A771987329881

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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. Nicholas Charles Fasano allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Maryland Diagnostic Imaging Specialists, P A
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154335487
PECOS PAC ID: 7719873298
Enrollment ID: O20040223000685

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Entity NameUniversity Imaging Center, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245245307
PECOS PAC ID: 2769378686
Enrollment ID: O20040226000325

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Entity NameUniversity Of Maryland Diagnostic Radiology, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467996959
PECOS PAC ID: 0345513248
Enrollment ID: O20170828004107

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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. Nicholas Charles Fasano 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 AddressPractice Location Address
Nicholas Charles Fasano, MD
22 S Greene St, Dept Of Radiology,
Baltimore, MD 21201-1544

Ph: (410) 328-3477
Nicholas Charles Fasano, MD
22 S Greene St, Dept Of Radiology,
Baltimore, MD 21201-1544

Ph: (410) 328-3477

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Radiology Doctors in Baltimore, MD

Dr. Barun Aryal, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3001 S Hanover St, Dept Of Internal Medicine, Baltimore, MD 21225
Phone: 410-350-3565    Fax: 410-354-0186
Imran Ahmed, D.O
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 22 S Greene St, Dept Of Radiology, Baltimore, MD 21201
Phone: 410-328-3477    
Michael Goldman, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 301 Saint Paul Pl, Radiology Dept, Baltimore, MD 21202
Phone: 410-332-9266    Fax: 410-545-4255
Dr. Jeffrey R. Galvin, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 22 S Greene St, Dept Of Radiology, Baltimore, MD 21201
Phone: 410-328-3477    
Martin Auster, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 4940 Eastern Ave, Baltimore, MD 21224
Phone: 410-550-0214    
Amy K Pepperney, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 7253 Ambassador Rd, Baltimore, MD 21244
Phone: 443-436-1151    Fax: 443-436-1256
Carolyn Kwon,
Radiology
Medicare: May Accept Medicare Assignments
Practice Location: 4940 Eastern Ave, Baltimore, MD 21224
Phone: 410-550-0100    

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