Carolyn Korfiatis, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Mammoth Lakes, California. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Privia Medical Group Washington Pllc and her current practice location is
85 Sierra Park Rd, Mammoth Lakes, California. You can reach out to her office (for appointments etc.) via phone at
(509) 205-1503.
Carolyn Korfiatis is licensed to practice in California (license number 95002589) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1417373770.
Provider's Profile
| Full Name | Carolyn Korfiatis |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 9 Years |
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| Location | 85 Sierra Park Rd, Mammoth Lakes, California |
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| Accepts Medicare Assignments | Yes. She 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:
- Carolyn Korfiatis graduated from nursing school in 2015
NPI Data:
- NPI Number: 1417373770
- Provider Enumeration Date: 03/11/2014
- Last Update Date: 06/30/2015
Medicare PECOS Information:
- PECOS PAC ID: 8820388572
- Enrollment ID: I20200828001041
Medical Identifiers
Medical identifiers for Carolyn Korfiatis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1417373770 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 672701-1 (New York) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 95002589 (California) | Primary |
| 163W00000X | Registered Nurse | 95036715 (California) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Privia Medical Group Washington Pllc | 2264320837 | 49 |
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. Carolyn Korfiatis allows following entities to bill medicare on her behalf.
| Entity Name | Privia Medical Group Washington Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780658419
PECOS PAC ID: 2264320837
Enrollment ID: O20040309000126 |
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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. Carolyn Korfiatis 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 |
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Carolyn Korfiatis, FNP-BC
Po Box 660,
Mammoth Lakes, CA 93546-0660
Ph: (509) 205-1503 | Carolyn Korfiatis, FNP-BC
85 Sierra Park Rd,
Mammoth Lakes, CA 93546-2073
Ph: (509) 205-1503 |
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