Mrs Elisa Slosberg, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Clarkdale, Arizona. Her current practice location is
1626 Beecher St, Clarkdale, Arizona. You can reach out to her office (for appointments etc.) via phone at
(480) 910-6081.
Mrs Elisa Slosberg is licensed to practice in Arizona (license number 307422) 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 1346080744.
Provider's Profile
| Full Name | Mrs Elisa Slosberg |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1626 Beecher St, Clarkdale, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1346080744
- Provider Enumeration Date: 05/31/2024
- Last Update Date: 09/27/2024
Medicare PECOS Information:
- PECOS PAC ID: 3072050780
- Enrollment ID: I20240730004670
Medical Identifiers
Medical identifiers for Mrs Elisa Slosberg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346080744 | NPI | - | NPPES |
| 202246 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 307422 (Arizona) | 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. Mrs Elisa Slosberg allows following entities to bill medicare on her behalf.
| Entity Name | Mh 7 Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710255088
PECOS PAC ID: 3870753940
Enrollment ID: O20120327000740 |
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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. Mrs Elisa Slosberg 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 |
|---|
Mrs Elisa Slosberg, FNP-BC
14386 W Carlin Dr,
Surprise, AZ 85374-4230
Ph: (480) 910-6081 | Mrs Elisa Slosberg, FNP-BC
1626 Beecher St,
Clarkdale, AZ 86324-3021
Ph: (480) 910-6081 |
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