Mr Kurt John Dilisio Jr, MSN, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in North Lima, Ohio. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Mercy Health Physicians Youngstown Specialty Care Llc and his current practice location is
9471 Market St Ste A, North Lima, Ohio. You can reach out to his office (for appointments etc.) via phone at
(330) 726-7100.
Mr Kurt John Dilisio Jr is licensed to practice in Ohio (license number APRN.CNP.026266) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1174156657.
Provider's Profile
| Full Name | Mr Kurt John Dilisio Jr |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 9471 Market St Ste A, North Lima, Ohio |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Kurt John Dilisio Jr graduated from nursing school in 2019
NPI Data:
- NPI Number: 1174156657
- Provider Enumeration Date: 02/13/2020
- Last Update Date: 05/21/2020
Medicare PECOS Information:
- PECOS PAC ID: 0042631103
- Enrollment ID: I20200528002356
Medical Identifiers
Medical identifiers for Mr Kurt John Dilisio Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1174156657 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.026266 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mercy Health Physicians Youngstown Specialty Care Llc | 3476950296 | 391 |
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. Mr Kurt John Dilisio Jr allows following entities to bill medicare on his behalf.
| Entity Name | Mercy Health Physicians Youngstown, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154636066
PECOS PAC ID: 9234318270
Enrollment ID: O20110124000753 |
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| Entity Name | Mercy Health Physicians Youngstown Specialty Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649892225
PECOS PAC ID: 3476950296
Enrollment ID: O20210921003835 |
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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. Mr Kurt John Dilisio Jr 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 |
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Mr Kurt John Dilisio Jr, MSN, FNP-BC
9471 Market St Ste A,
North Lima, OH 44452-8702
Ph: (330) 726-7100 | Mr Kurt John Dilisio Jr, MSN, FNP-BC
9471 Market St Ste A,
North Lima, OH 44452-8702
Ph: (330) 726-7100 |
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