Mr Eric Jon Kozlow, MD is a medicare enrolled "Allergy & Immunology" physician in Asheboro, North Carolina. He went to Emory University School Of Medicine and graduated in 1985 and has 39 years of diverse experience with area of expertise as Allergy/immunology. He is a member of the group practice Moses Cone Affiliated Physicians, Inc. and his current practice location is
120 Davis St, Asheboro, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(336) 629-5770.
Mr Eric Jon Kozlow is licensed to practice in North Carolina (license number 9500975) 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 1710943790.
Physician's Profile
| Full Name | Mr Eric Jon Kozlow |
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| Gender | Male |
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| Speciality | Allergy/immunology |
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| Experience | 39 Years |
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| Location | 120 Davis St, Asheboro, North Carolina |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Eric Jon Kozlow attended and graduated from Emory University School Of Medicine in 1985
NPI Data:
- NPI Number: 1710943790
- Provider Enumeration Date: 04/26/2006
- Last Update Date: 09/17/2021
Medicare PECOS Information:
- PECOS PAC ID: 3779611553
- Enrollment ID: I20100514000855
Medical Identifiers
Medical identifiers for Mr Eric Jon Kozlow such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710943790 | NPI | - | NPPES |
| 2217701B | Other | NC | MEDICARE ID |
| 1235298589 | Other | NC | GROUP NPI |
| 50259 | Other | NC | BCBS |
| 8950259 | Medicaid | NC | |
| 0202020 | Other | | UNITED HEALTHCARE |
| 2217701A | Other | NC | MEDICARE ID |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 9500975 (North Carolina) | Secondary |
| 207K00000X | Allergy & Immunology | 9500975 (North Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Moses Cone Affiliated Physicians, Inc. | 3779635396 | 70 |
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. Mr Eric Jon Kozlow allows following entities to bill medicare on his behalf.
| Entity Name | Moses Cone Affiliated Physicians, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346474103
PECOS PAC ID: 3779635396
Enrollment ID: O20090713000512 |
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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. Mr Eric Jon Kozlow 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 |
|---|
Mr Eric Jon Kozlow, MD
100 Westwood Avenue,
High Point, NC 27262-4320
Ph: (336) 883-1393 | Mr Eric Jon Kozlow, MD
120 Davis St,
Asheboro, NC 27203
Ph: (336) 629-5770 |
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