Krizelda Dizon, in Wayne, NJ - Medicare Nurse Practitioner

Krizelda Dizon, is a medicare enrolled "Nurse Practitioner" in Wayne, New Jersey. Her current practice location is 330 Ratzer Rd Ste B7, Wayne, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 317-0155.

Krizelda Dizon is licensed to practice in New Jersey (license number 26NJ01163400) 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 1174275903.

Contact Information

	Krizelda Dizon,
	330 Ratzer Rd Ste B7, Wayne, NJ 07470-7704
	(973) 317-0155
	(973) 317-0149

Map and Direction

Provider's Profile

Full Name	Krizelda Dizon
Gender	Female
Speciality	Nurse Practitioner
Location	330 Ratzer Rd Ste B7, Wayne, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174275903
Provider Enumeration Date: 01/24/2022
Last Update Date: 12/19/2023

Medicare PECOS Information:

PECOS PAC ID: 1052795788
Enrollment ID: I20220830002600

Medical Identifiers

Medical identifiers for Krizelda Dizon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174275903	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	26NJ01163400 (New Jersey)	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. Krizelda Dizon allows following entities to bill medicare on her behalf.

Entity Name	Practice Associates Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427016385 PECOS PAC ID: 5890703177 Enrollment ID: O20060330000690

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. Krizelda Dizon 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
Krizelda Dizon, Po Box 416457, Boston, MA 02241-6457 Ph: (844) 362-1735	Krizelda Dizon, 330 Ratzer Rd Ste B7, Wayne, NJ 07470-7704 Ph: (973) 317-0155

Reviews and Comments

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Krizelda Dizon, - Medicare Nurse Practitioner in Wayne, NJ