Edwin Isaboke Karanja, AGACNP in Tyler, TX - Medicare Nurse Practitioner

Edwin Isaboke Karanja, AGACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Tyler, Texas. His current practice location is 9217 Stonebank Xing, Tyler, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 261-5222.

Edwin Isaboke Karanja is licensed to practice in Texas (license number 1099035) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1194292888.

Contact Information

	Edwin Isaboke Karanja, AGACNP
	9217 Stonebank Xing, Tyler, TX 75703-0829
	(903) 261-5222
	Not Available

Map and Direction

Provider's Profile

Full Name	Edwin Isaboke Karanja
Gender	Male
Speciality	Nurse Practitioner - Acute Care
Location	9217 Stonebank Xing, Tyler, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194292888
Provider Enumeration Date: 10/31/2018
Last Update Date: 02/09/2023

Medicare PECOS Information:

PECOS PAC ID: 2769855790
Enrollment ID: I20230222001805

Medical Identifiers

Medical identifiers for Edwin Isaboke Karanja such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194292888	NPI	-	NPPES
1099035	Other	TX	TEXAS STATE BOARD OF NURSING

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	870204 (Texas)	Secondary
363L00000X	Nurse Practitioner	1099035 (Texas)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	1099035 (Texas)	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. Edwin Isaboke Karanja allows following entities to bill medicare on his behalf.

Entity Name	Christus Trinity Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091

Entity Name	Northeast Texas Intensivists, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497536676 PECOS PAC ID: 5092167528 Enrollment ID: O20240119001805

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. Edwin Isaboke Karanja 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
Edwin Isaboke Karanja, AGACNP 9217 Stonebank Xing, Tyler, TX 75703-0829 Ph: (903) 261-5222	Edwin Isaboke Karanja, AGACNP 9217 Stonebank Xing, Tyler, TX 75703-0829 Ph: (903) 261-5222

Reviews and Comments

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Kinsey Henry, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1720 S Beckham Ave, Tyler, TX 75701 Phone: 903-630-6211

Edwin Isaboke Karanja, AGACNP - Medicare Nurse Practitioner in Tyler, TX