Nathan Ezzo, in Burien, WA - Medicare Clinical Social Worker Provider

Nathan Ezzo, is a medicare enrolled "Social Worker - Clinical" provider in Burien, Washington. He graduated from healthcare school in 2004 and has 20 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Mindful Therapy Group Pc and his current practice location is 839 Sw 126th St, Burien, Washington. You can reach out to his office (for appointments etc.) via phone at (215) 692-3049.

Nathan Ezzo is licensed to practice in Washington (license number LW60951940) 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 1952646903.

Contact Information

	Nathan Ezzo,
	839 Sw 126th St, Burien, WA 98146-2752
	(215) 692-3049
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nathan Ezzo
Gender	Male
Speciality	Clinical Social Worker
Experience	20 Years
Location	839 Sw 126th St, Burien, Washington
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nathan Ezzo graduated from medical school in 2004

NPI Data:

NPI Number: 1952646903
Provider Enumeration Date: 12/03/2012
Last Update Date: 09/08/2022

Medicare PECOS Information:

PECOS PAC ID: 4880908458
Enrollment ID: I20191216000868

Medical Identifiers

Medical identifiers for Nathan Ezzo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952646903	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	SW124649 (* (Not Available))	Secondary
1041C0700X	Social Worker - Clinical	LW60951940 (Washington)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mindful Therapy Group Pc	4981872561	252

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. Nathan Ezzo allows following entities to bill medicare on his behalf.

Entity Name	Mindful Therapy Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316238678 PECOS PAC ID: 4981872561 Enrollment ID: O20110726000730

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. Nathan Ezzo 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
Nathan Ezzo, 839 Sw 126th St, Burien, WA 98146-2752 Ph: (215) 692-3049	Nathan Ezzo, 839 Sw 126th St, Burien, WA 98146-2752 Ph: (215) 692-3049

Nathan Ezzo, - Medicare Counselor in Burien, WA