Cezanne A Ezekiel, CNM is a medicare enrolled "Advanced Practice Midwife" in Waipahu, Hawaii. Her current practice location is
94-1480 Moaniani St, Waipahu, Hawaii. You can reach out to her office (for appointments etc.) via phone at
(808) 432-3100.
Cezanne A Ezekiel is licensed to practice in Hawaii (license number APRN-3737) 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 1770092009.
Provider's Profile
| Full Name | Cezanne A Ezekiel |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 94-1480 Moaniani St, Waipahu, Hawaii |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1770092009
- Provider Enumeration Date: 09/29/2017
- Last Update Date: 09/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 2567720097
- Enrollment ID: I20171211001283
Medical Identifiers
Medical identifiers for Cezanne A Ezekiel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770092009 | NPI | - | NPPES |
| 1770092009 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367A00000X | Advanced Practice Midwife | APRN-3737 (Hawaii) | Primary |
| 367A00000X | Advanced Practice Midwife | AP60798068 (Washington) | Secondary |
| 163W00000X | Registered Nurse | RN00168168 (Washington) | Secondary |
| 176B00000X | Midwife | AP60798068 (Washington) | Secondary |
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. Cezanne A Ezekiel allows following entities to bill medicare on her behalf.
| Entity Name | Kaiser Foundation Health Plan Of Washington |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396810701
PECOS PAC ID: 9032022579
Enrollment ID: O20031112000454 |
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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. Cezanne A Ezekiel 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 |
|---|
Cezanne A Ezekiel, CNM
94-1480 Moaniani St,
Waipahu, HI 96797-4632
Ph: (808) 432-3100 | Cezanne A Ezekiel, CNM
94-1480 Moaniani St,
Waipahu, HI 96797-4632
Ph: (808) 432-3100 |
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