Elizabeth S Kozak, APRN in Hartford, CT - Medicare Nurse Practitioner

Elizabeth S Kozak, APRN is a medicare enrolled "Nurse Practitioner" in Hartford, Connecticut. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Providence Medical Foundation and her current practice location is 31 Seymour St Fl 2, Hartford, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 972-0475.

Elizabeth S Kozak is licensed to practice in Connecticut (license number 6592) 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 1184078685.

Contact Information

	Elizabeth S Kozak, APRN
	31 Seymour St Fl 2, Hartford, CT 06106-5521
	(860) 972-0475
	Not Available

Map and Direction

Provider's Profile

Full Name	Elizabeth S Kozak
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	31 Seymour St Fl 2, Hartford, Connecticut
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 S Kozak graduated from nursing school in 2016

NPI Data:

NPI Number: 1184078685
Provider Enumeration Date: 04/20/2016
Last Update Date: 10/24/2022

Medicare PECOS Information:

PECOS PAC ID: 4789966045
Enrollment ID: I20231006001470

Medical Identifiers

Medical identifiers for Elizabeth S Kozak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184078685	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	6592 (Connecticut)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Santa Rosa Memorial Hospital	Santa rosa, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Medical Foundation	8921993205	1312

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 S Kozak allows following entities to bill medicare on her behalf.

Entity Name	Providence Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346

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 S Kozak 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 S Kozak, APRN 31 Seymour St Fl 2, Hartford, CT 06106-5521 Ph: (860) 972-0475	Elizabeth S Kozak, APRN 31 Seymour St Fl 2, Hartford, CT 06106-5521 Ph: (860) 972-0475

Reviews and Comments

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Elizabeth S Kozak, APRN - Medicare Nurse Practitioner in Hartford, CT