Elizabeth Edacheril Poulose, in Burlington, NC

Elizabeth Edacheril Poulose, is a medicare enrolled "Nurse Practitioner - Primary Care" in Burlington, North Carolina. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Virginia Mason Medical Center and her current practice location is 1041 Kirkpatrick Rd Ste 100, Burlington, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 538-0565.

Elizabeth Edacheril Poulose is licensed to practice in North Carolina (license number 5011182) 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 1205304409.

Contact Information

	Elizabeth Edacheril Poulose,
	1041 Kirkpatrick Rd Ste 100, Burlington, NC 27215-8066
	(336) 538-0565
	Not Available

Map and Direction

Provider's Profile

Full Name	Elizabeth Edacheril Poulose
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	1041 Kirkpatrick Rd Ste 100, Burlington, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Elizabeth Edacheril Poulose graduated from nursing school in 2018

NPI Data:

NPI Number: 1205304409
Provider Enumeration Date: 11/05/2018
Last Update Date: 06/26/2024

Medicare PECOS Information:

PECOS PAC ID: 7719225275
Enrollment ID: I20201113002076

Medical Identifiers

Medical identifiers for Elizabeth Edacheril Poulose such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205304409	NPI	-	NPPES
5011182	Other	NC	NURSE PRACTITIONER APPROVAL TO PRACTICE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	5011182 (North Carolina)	Primary
363L00000X	Nurse Practitioner	5011182 (North Carolina)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Virginia Mason Medical Center	9830002617	834

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. Elizabeth Edacheril Poulose allows following entities to bill medicare on her behalf.

Entity Name	Virginia Mason Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801851258 PECOS PAC ID: 9830002617 Enrollment ID: O20031107000383

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. Elizabeth Edacheril Poulose 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
Elizabeth Edacheril Poulose, 1041 Kirkpatrick Rd Ste 100, Burlington, NC 27215-8066 Ph: (336) 538-0565	Elizabeth Edacheril Poulose, 1041 Kirkpatrick Rd Ste 100, Burlington, NC 27215-8066 Ph: (336) 538-0565

Reviews and Comments

Nurse Practitioner Nurses in Burlington, NC

Carrie Doss, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1409 University Dr, Suite 105, Burlington, NC 27215 Phone: 336-584-5659
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Mr. Bryan Gray, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1240 Huffman Mill Rd, Burlington, NC 27215 Phone: 336-586-3935 Fax: 336-538-7045
Whitney Lynanne Meeler, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1234 Huffman Mill Road, Burlington, NC 27215 Phone: 336-538-1234 Fax: 336-584-6811
Wendy Ashley, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1987 Hilton Rd, Burlington, NC 27217 Phone: 336-226-0848
Jessica Anna Rubio, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 221 N Graham Hopedale Rd, Burlington, NC 27217 Phone: 336-570-3739 Fax: 336-570-1215
Jennifer Elizabeth Burns, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1236 Huffman Mill Rd, Burlington, NC 27215 Phone: 336-538-7725

Elizabeth Edacheril Poulose, - Medicare Nurse Practitioner in Burlington, NC