Edna Kabisa, PA-C is a medicare enrolled "Physician Assistant - Medical" physician in Raleigh, North Carolina. Her current practice location is
3000 New Bern Ave, Raleigh, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(919) 350-8000.
Edna Kabisa is licensed to practice in North Carolina (license number 0010-13397) 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 1689455230.
Physician's Profile
Full Name | Edna Kabisa |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 3000 New Bern Ave, Raleigh, North Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1689455230
- Provider Enumeration Date: 10/10/2023
- Last Update Date: 02/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 6800231119
- Enrollment ID: I20240227000669
Medical Identifiers
Medical identifiers for Edna Kabisa such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689455230 | NPI | - | NPPES |
1689455230 | Medicaid | NC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 0010-13397 (North Carolina) | Secondary |
208M00000X | Hospitalist | 0010-13397 (North Carolina) | Secondary |
363A00000X | Physician Assistant | 0010-13397 (North Carolina) | Secondary |
363AM0700X | Physician Assistant - Medical | 0010-13397 (North Carolina) | 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. Edna Kabisa 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 |
Edna Kabisa, PA-C Po Box 603949, Charlotte, NC 28260-3949 Ph: (919) 350-0351 | Edna Kabisa, PA-C 3000 New Bern Ave, Raleigh, NC 27610-1231 Ph: (919) 350-8000 |
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