Mrs Kayla Rose Eza, LCSWA in Bolivia, NC - Medicare Social Worker Provider

Mrs Kayla Rose Eza, LCSWA is a medicare enrolled "Social Worker - Clinical" provider in Bolivia, North Carolina. Her current practice location is 4311 Old Ocean Hwy, Bolivia, North Carolina. You can reach out to her office (for appointments etc.) via phone at (877) 935-5255.

Mrs Kayla Rose Eza is licensed to practice in North Carolina (license number P016417) 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 1457921033.

Contact Information

	Mrs Kayla Rose Eza, LCSWA
	4311 Old Ocean Hwy, Bolivia, NC 28422-8637
	(877) 935-5255
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kayla Rose Eza
Gender	Female
Speciality	Social Worker - Clinical
Location	4311 Old Ocean Hwy, Bolivia, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457921033
Provider Enumeration Date: 06/28/2021
Last Update Date: 07/06/2022

Medicare PECOS Information:

PECOS PAC ID: 4183167075
Enrollment ID: I20240620000674

Medical Identifiers

Medical identifiers for Mrs Kayla Rose Eza such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457921033	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	P016417 (North Carolina)	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. Mrs Kayla Rose Eza allows following entities to bill medicare on her behalf.

Entity Name	Tri County Community Health Council Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427087709 PECOS PAC ID: 2163409558 Enrollment ID: O20040702000780

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. Mrs Kayla Rose Eza 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
Mrs Kayla Rose Eza, LCSWA 4311 Old Ocean Hwy, Bolivia, NC 28422-8637 Ph: (877) 935-5255	Mrs Kayla Rose Eza, LCSWA 4311 Old Ocean Hwy, Bolivia, NC 28422-8637 Ph: (877) 935-5255

Reviews and Comments

Social Worker in Bolivia, NC

Tamika Jocinda Yushaw, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 25 Courthouse Drive Ne, Bolivia, NC 28422 Phone: 910-209-4223
Thomas B. Kiggins, LCSW, BCD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 639 Creekway Cir Se, Bolivia, NC 28422 Phone: 910-880-9905
Jonaysha Douglas, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3972 Old Ocean Hwy, Bolivia, NC 28422 Phone: 910-368-6739
Olivia Wardlaw, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4036 Bus 17, East Bldg 600, Bolivia, NC 28337 Phone: 910-703-8822 Fax: 910-754-3439
Heather Howard, LCSWA Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 10 Referendum Dr Ne, Bolivia, NC 28422 Phone: 910-253-5801
Lori Cochard, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4036 Business 17 E, Bolivia, NC 28422 Phone: 704-366-8712 Fax: 704-362-8464

Mrs Kayla Rose Eza, LCSWA - Medicare Clinical Social Worker in Bolivia, NC