Elise Brinson Fazio, DO - Medicare Family Practice in Ogden, UT

Elise Brinson Fazio, DO is a medicare enrolled "Family Medicine" physician in Ogden, Utah. She went to Western University Of Health Sciences College Of Dental Med and graduated in 2015 and has 9 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Intermountain Healthcare Services, Inc and her current practice location is 4403 Harrison Blvd Ste 3630, Ogden, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 387-7900.

Elise Brinson Fazio is licensed to practice in Utah (license number 11176326-1204) 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 1710366299.

Contact Information

Elise Brinson Fazio, DO
4403 Harrison Blvd Ste 3630,
Ogden, UT 84403-3287
(801) 387-7900
Not Available



Physician's Profile

Full NameElise Brinson Fazio
GenderFemale
SpecialityFamily Practice
Experience9 Years
Location4403 Harrison Blvd Ste 3630, Ogden, Utah
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Elise Brinson Fazio attended and graduated from Western University Of Health Sciences College Of Dental Med in 2015
  NPI Data:
  • NPI Number: 1710366299
  • Provider Enumeration Date: 05/29/2015
  • Last Update Date: 11/14/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 0042523102
  • Enrollment ID: I20191212001097

Medical Identifiers

Medical identifiers for Elise Brinson Fazio such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710366299NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 11176326-1204 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Intermountain Homecare Hospice Salt LakeSouth jordan, UTHospice
Mckay Dee HospitalOgden, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Intermountain Healthcare Services, Inc18502094203063

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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. Elise Brinson Fazio allows following entities to bill medicare on her behalf.
Entity NameIhc Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942325154
PECOS PAC ID: 1850209420
Enrollment ID: O20080610000303

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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. Elise Brinson 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 AddressPractice Location Address
Elise Brinson Fazio, DO
Po Box 27128,
Salt Lake City, UT 84127-0128

Ph: () -
Elise Brinson Fazio, DO
4403 Harrison Blvd Ste 3630,
Ogden, UT 84403-3287

Ph: (801) 387-7900

News Archive

Mothers who smoke, drink alcohol during pregnancy increase risk for SIDS 12-fold

Sudden infant death syndrome (SIDS), also called crib death or cot death, is the sudden and unexplained death of an infant less than one-year-old. There is no exact known cause of SIDS, but a recent study shows that mothers who smoked cigarettes and drank alcohol during pregnancy may have babies with a 12-fold increased risk of SIDS.

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National Stroke Association has launched a new Faces of Stroke(SM) mini-campaign designed to educate about the connection between stroke and Afib, a type of irregular heartbeat that increases risk of stroke by five times.

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› Verified 6 days ago


Family Medicine Doctors in Ogden, UT

Scott Allen Andelin, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4403 Harrison Blvd, Ste A-700, Ogden, UT 84403
Phone: 801-387-5300    
John M Hemmersmeier, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5740 Crestwood Dr, Ogden, UT 84405
Phone: 801-479-7771    Fax: 801-479-7795
Kristine M Oates, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 4403 Harrison Blvd, Ste. A700, Ogden, UT 84403
Phone: 801-387-5300    Fax: 801-387-5335
Benjamin Zachary Larsen, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4403 Harrison Blvd Ste 700a, Ogden, UT 84403
Phone: 801-387-5300    Fax: 801-387-5333
Robert L Adams, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1355 Hinkley Dr, Ogden, UT 84401
Phone: 801-387-6050    
Mary Ellen Mason, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4650 Harrison Blvd, Ogden, UT 84403
Phone: 801-475-3010    Fax: 801-475-3001
Brett Wayne Martindale, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4700 Harrison Blvd, Ogden, UT 84403
Phone: 801-475-3300    Fax: 801-475-3301

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