Kimberly Kay Kozeliski, NP is a medicare enrolled "Hospitalist" physician in Los Ranchos, New Mexico. Her current practice location is
6855 4th St Nw, Los Ranchos, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(505) 514-5885.
Kimberly Kay Kozeliski is licensed to practice in New Mexico (license number 65686) 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 1144984063.
Physician's Profile
Full Name | Kimberly Kay Kozeliski |
---|
Gender | Female |
---|
Speciality | Hospitalist |
---|
Location | 6855 4th St Nw, Los Ranchos, New Mexico |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1144984063
- Provider Enumeration Date: 10/27/2021
- Last Update Date: 02/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 5698162030
- Enrollment ID: I20220503002176
Medical Identifiers
Medical identifiers for Kimberly Kay Kozeliski such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144984063 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 65686 (New Mexico) | Secondary |
208M00000X | Hospitalist | 65686 (New Mexico) | 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. Kimberly Kay Kozeliski allows following entities to bill medicare on her behalf.
Entity Name | Southwest Medical Associates, Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1164491072 PECOS PAC ID: 7214831114 Enrollment ID: O20031121000724 |
---|
Entity Name | Hippocare Inc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1255784658 PECOS PAC ID: 0749568350 Enrollment ID: O20161102002515 |
---|
Entity Name | Soar Wellness |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1295407773 PECOS PAC ID: 9335531631 Enrollment ID: O20220119000218 |
---|
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. Kimberly Kay Kozeliski 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 |
Kimberly Kay Kozeliski, NP 6855 4th St Nw, Los Ranchos, NM 87107-6100 Ph: (505) 514-5885 | Kimberly Kay Kozeliski, NP 6855 4th St Nw, Los Ranchos, NM 87107-6100 Ph: (505) 514-5885 |
Reviews and Comments